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Updated: Nov 9, 2025
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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
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First multicenter experience using the Silk Vista flow diverter in 60 consecutive intracranial aneurysms: technical
Mario Martínez-Galdámez1, Yilmaz Onal2, José E Cohen3
1Interventional Neuroradiology/Endovascular Neurosurgery, Hospital Clínico Universitario de Valladolid, Valladolid, Spain mariomgaldamez@hotmail.com.
Journal of Neurointerventional Surgery
|April 9, 2021
Summary
The Silk Vista (SV) flow diverter is a safe and feasible option for treating intracranial aneurysms, showing high rates of device opening and aneurysm occlusion with low complication rates.
Area of Science:
- Endovascular neurosurgery
- Cerebrovascular disease management
- Medical device technology
Background:
- Intracranial aneurysms pose significant risks.
- Flow diverters offer a minimally invasive treatment option.
- The Silk Vista (SV) device is a novel flow diverter for aneurysm treatment.
Purpose of the Study:
- To evaluate the technical success of the Silk Vista device.
- To assess the procedural safety and complication rates of SV.
- To determine the initial aneurysm occlusion rates with SV.
Main Methods:
- Retrospective review of multicenter data.
- Analysis of consecutive patients treated with SV (Sept 2020 - Jan 2021).
- Evaluation of clinical, procedural, and angiographic outcomes.
Main Results:
- 60 aneurysms treated in 57 procedures using 66 devices.
- 91% instantaneous device opening and 92% complete wall apposition.
- Low complication rates: 5% intraprocedural and 7% postprocedural events, with no permanent neurological morbidity or mortality.
Conclusions:
- The Silk Vista device is feasible for intracranial aneurysm treatment.
- The SV demonstrates technical safety and efficacy.
- Flow diversion with SV is a viable therapeutic strategy.
