{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T19:40:24Z","timestamp":1793389224111,"version":"4.5.0"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neuroradiology"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>We aim to retrospectively evaluate patients treated with SVB at our single center, assessing its efficacy, radiologic and clinical outcomes, and complication profile.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method<\/jats:title>\n            <jats:p>This retrospective, single-center study included patients with small parent artery aneurysms treated with SVB. Patients were monitored for procedural success, aneurysm occlusion, and complications, with radiologic and clinical follow-up conducted.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The study included 64 patients with 66 small parent artery aneurysms treated using SVB FDs. Among these patients, 26 (40.6%) presented with subarachnoid hemorrhage (SAH). The mean index aneurysm size was 5.7\u2009\u00b1\u20095.25\u00a0mm. The cohort consisted of 15 males (23.4%) and 49 females (76.6%), with a mean age of 54.23\u2009\u00b1\u200914.95 years (range: 5\u201380 years). SVB was used as a standalone treatment in 42 patients (65.6%), while adjunctive materials were applied in 22 cases (34.4%)\u2014coils in 16 (24.2%) and a regular stent in 6 (9.1%). A total of 71 SVB stents were deployed for 66 aneurysms, achieving a 100% technical success rate. In 30 patients with multiple aneurysms, additional aneurysms were addressed during the same session along with the index aneurysm. The mean duration of clinical and radiological follow-up was 10.5\u2009\u00b1\u20097.94 months. Among a total of 7 patients (10.9%) with ischemic complications, 3 (4.7%) were related to SVB implantation. Index aneurysm occlusion was accomplished in 93.3% of cases at the last follow-up. Favorable neurological outcomes (mRS 0\u20132) were recorded in 53 patients (82.8%). Subgroup analysis showed that 6 out of 7 total complications (85.7%) occurred in patients with multiple aneurysms.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The SVB FDs are a highly effective and safe treatment option for distal intracranial aneurysms, achieving high occlusion rates with a favorable safety profile.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00234-025-03653-7","type":"journal-article","created":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T02:11:25Z","timestamp":1747879885000},"page":"1907-1916","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Endovascular treatment of small-parent artery aneurysms: mid-term results of the silk vista baby flow diverter"],"prefix":"10.1007","volume":"67","author":[{"given":"Celal","family":"Cinar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alperen","family":"Elek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmut","family":"Kusbeci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Egemen","family":"Ozturk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cemre Yanbol","family":"Utli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismail","family":"Oran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,22]]},"reference":[{"issue":"2","key":"3653_CR1","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1177\/15910199211024061","volume":"28","author":"P Bhogal","year":"2022","unstructured":"Bhogal P, Makalanda H, Wong K et al (2022) The silk Vista Baby - The UK experience. Interv Neuroradiol 28(2):201\u2013212","journal-title":"Interv Neuroradiol"},{"issue":"5","key":"3653_CR2","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1177\/1591019919839196","volume":"25","author":"P Bhogal","year":"2019","unstructured":"Bhogal P, Wong K, Uff C, Wadley J, Makalanda HL (2019) The silk Vista baby: initial experience and report of two cases. Interv Neuroradiol 25(5):530\u2013538","journal-title":"Interv Neuroradiol"},{"issue":"3","key":"3653_CR3","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1007\/s00062-014-0367-6","volume":"26","author":"YD Cho","year":"2016","unstructured":"Cho YD, Ahn JH, Jung SC et al (2016) Single-Stage coil embolization of multiple intracranial aneurysms: technical feasibility and clinical outcomes. Clin Neuroradiol 26(3):285\u2013290","journal-title":"Clin Neuroradiol"},{"key":"3653_CR4","doi-asserted-by":"crossref","unstructured":"Cinar C, Akgul E, Elek A et al (2024) Flow-diverting stents in the management of extracranial carotid artery aneurysms. Diagn Interv Radiol","DOI":"10.4274\/dir.2024.242946"},{"key":"3653_CR5","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1007\/s00234-013-1136-y","volume":"55","author":"C \u00c7inar","year":"2013","unstructured":"\u00c7inar C, Oran \u0130, Bozkaya H, Ozgiray E (2013) Endovascular treatment of ruptured blister-like aneurysms with special reference to the flow-diverting strategy. Neuroradiology 55:441\u2013447","journal-title":"Neuroradiology"},{"key":"3653_CR6","doi-asserted-by":"crossref","unstructured":"Cinar C, Oran I, Ozdemir HI et al (2024) Changes in blood biochemistry thrombosis parameters 24 hours after stent-assisted endovascular treatment of intracranial aneurysms. Interv Neuroradiol 15910199241272522","DOI":"10.1177\/15910199241272522"},{"issue":"1","key":"3653_CR7","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1136\/neurintsurg-2020-015877","volume":"13","author":"S Dandapat","year":"2021","unstructured":"Dandapat S, Mendez-Ruiz A, Martinez-Galdamez M et al (2021) Review of current intracranial aneurysm flow diversion technology and clinical use. J Neurointerv Surg 13(1):54\u201362","journal-title":"J Neurointerv Surg"},{"issue":"4","key":"3653_CR8","doi-asserted-by":"publisher","first-page":"907","DOI":"10.1007\/s00062-024-01435-x","volume":"34","author":"AA Dmytriw","year":"2024","unstructured":"Dmytriw AA, Salim HA, Musmar B et al (2024) Comparative efficacy of flow diverter devices in the treatment of carotid sidewall intracranial aneurysms: a retrospective, multicenter study. Clin Neuroradiol 34(4):907\u2013917","journal-title":"Clin Neuroradiol"},{"issue":"3","key":"3653_CR9","first-page":"1","volume":"85","author":"A Elek","year":"2024","unstructured":"Elek A, Cinar C, Kusbeci M, Oran I (2024) Successful treatment of a Basilar artery fenestration aneurysm using a kissing flow diverter stent. Br J Hosp Med (Lond) 85(3):1\u20133","journal-title":"Br J Hosp Med (Lond)"},{"key":"3653_CR10","doi-asserted-by":"crossref","unstructured":"Elek A, Karagoz S, Dindar GN et al (2025) Safety and efficacy of low profile flow diverter stents for intracranial aneurysms in small parent vessels: systematic review and meta-analysis. J Neurointerv Surg","DOI":"10.1136\/jnis-2024-022834"},{"key":"3653_CR11","doi-asserted-by":"publisher","first-page":"676749","DOI":"10.3389\/fneur.2021.676749","volume":"12","author":"V Gavrilovic","year":"2021","unstructured":"Gavrilovic V, Dapoto A, Marotti N et al (2021) Silk Vista baby is a safe and technically feasible flow diverting stent for distal aneurysm treatment. Front Neurol 12:676749","journal-title":"Front Neurol"},{"issue":"1","key":"3653_CR12","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1177\/15910199221091645","volume":"30","author":"RA Hanel","year":"2024","unstructured":"Hanel RA, Cortez GM, Benalia VHC et al (2024) Patient outcomes after treatment of brain aneurysm in small diameter vessels with the silk Vista baby flow diverter: A systematic review. Interv Neuroradiol 30(1):5\u201313","journal-title":"Interv Neuroradiol"},{"issue":"6","key":"3653_CR13","doi-asserted-by":"publisher","first-page":"1170","DOI":"10.3174\/ajnr.A3821","volume":"35","author":"P Jeon","year":"2014","unstructured":"Jeon P, Kim BM, Kim DJ, Kim DI, Suh SH (2014) Treatment of multiple intracranial aneurysms with 1-stage coiling. AJNR Am J Neuroradiol 35(6):1170\u20131173","journal-title":"AJNR Am J Neuroradiol"},{"key":"3653_CR14","doi-asserted-by":"crossref","unstructured":"Kishore K, Bodani V, Olatunji RB, Spears J, Marotta TR, Pereira VM (2022) PREDICT: precise deployment of silk Vista baby in confined territory: A technical note. Interv Neuroradiol 15910199221142640","DOI":"10.1177\/15910199221142640"},{"issue":"7","key":"3653_CR15","doi-asserted-by":"publisher","first-page":"723","DOI":"10.1136\/neurintsurg-2019-014770","volume":"11","author":"M Martinez-Galdamez","year":"2019","unstructured":"Martinez-Galdamez M, Biondi A, Kalousek V et al (2019) Periprocedural safety and technical outcomes of the new silk Vista baby flow diverter for the treatment of intracranial aneurysms: results from a multicenter experience. J Neurointerv Surg 11(7):723\u2013727","journal-title":"J Neurointerv Surg"},{"key":"3653_CR16","doi-asserted-by":"publisher","first-page":"700164","DOI":"10.3389\/fneur.2021.700164","volume":"12","author":"J Maybaum","year":"2021","unstructured":"Maybaum J, Henkes H, Aguilar-Perez M et al (2021) Flow diversion for reconstruction of intradural vertebral artery dissecting aneurysms causing subarachnoid Hemorrhage-A retrospective study from four neurovascular centers. Front Neurol 12:700164","journal-title":"Front Neurol"},{"issue":"5","key":"3653_CR17","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1136\/neurintsurg-2013-011023","volume":"7","author":"I Oran","year":"2015","unstructured":"Oran I, Cinar C, Bozkaya H, Korkmaz M (2015) Tailoring platelet Inhibition according to multiple electrode aggregometry decreases the rate of thrombotic complications after intracranial flow-diverting stent implantation. J Neurointerv Surg 7(5):357\u2013362","journal-title":"J Neurointerv Surg"},{"issue":"4","key":"3653_CR18","doi-asserted-by":"publisher","first-page":"1032","DOI":"10.1161\/STROKEAHA.111.636019","volume":"43","author":"S Pistocchi","year":"2012","unstructured":"Pistocchi S, Blanc R, Bartolini B, Piotin M (2012) Flow diverters at and beyond the level of the circle of Willis for the treatment of intracranial aneurysms. Stroke 43(4):1032\u20131038","journal-title":"Stroke"},{"key":"3653_CR19","doi-asserted-by":"publisher","first-page":"1369443","DOI":"10.3389\/fneur.2024.1369443","volume":"15","author":"C Rodriguez-Fernandez","year":"2024","unstructured":"Rodriguez-Fernandez C, Ruiz-Garcia P, Garcia-Sanchez MJ et al (2024) Technical success, procedural safety, and efficacy of the silk Vista baby in the treatment of cerebral aneurysms over a mid-to-long-term follow-up. Front Neurol 15:1369443","journal-title":"Front Neurol"},{"issue":"10","key":"3653_CR20","doi-asserted-by":"publisher","first-page":"2031","DOI":"10.1007\/s00234-022-03003-x","volume":"64","author":"R Russo","year":"2022","unstructured":"Russo R, Boghi A, Giorgianni A et al (2022) Silk Vista baby flow diverter stent for ruptured intracranial aneurysms: a retrospective observational study. Neuroradiology 64(10):2031\u20132037","journal-title":"Neuroradiology"},{"issue":"12","key":"3653_CR21","doi-asserted-by":"publisher","first-page":"1227","DOI":"10.1136\/neurintsurg-2019-014840","volume":"11","author":"S Schob","year":"2019","unstructured":"Schob S, Hoffmann KT, Richter C et al (2019) Flow diversion beyond the circle of Willis: endovascular aneurysm treatment in peripheral cerebral arteries employing a novel low-profile flow diverting stent. J Neurointerv Surg 11(12):1227\u20131234","journal-title":"J Neurointerv Surg"},{"key":"3653_CR22","doi-asserted-by":"crossref","unstructured":"Schungel MS, Hoffmann KT, Weber E et al (2023) Distal flow diversion with\u00a0anti-thrombotically coated and bare metal low-profile flow diverters-a comparison. J Clin Med 12(7):2700","DOI":"10.3390\/jcm12072700"},{"issue":"24","key":"3653_CR23","doi-asserted-by":"publisher","first-page":"2261","DOI":"10.1016\/j.jacc.2013.07.101","volume":"62","author":"US Tantry","year":"2013","unstructured":"Tantry US, Bonello L, Aradi D et al (2013) Consensus and update on the definition of on-treatment platelet reactivity to adenosine diphosphate associated with ischemia and bleeding. J Am Coll Cardiol 62(24):2261\u20132273","journal-title":"J Am Coll Cardiol"},{"key":"3653_CR24","doi-asserted-by":"publisher","first-page":"1196725","DOI":"10.3389\/fneur.2023.1196725","volume":"14","author":"G Zhang","year":"2023","unstructured":"Zhang G, Zhang W, Chang H et al (2023) Endovascular treatment of multiple intracranial aneurysms in patients with subarachnoid hemorrhage: one or multiple sessions? Front Neurol 14:1196725","journal-title":"Front Neurol"}],"container-title":["Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00234-025-03653-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00234-025-03653-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00234-025-03653-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T15:11:46Z","timestamp":1757171506000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00234-025-03653-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,22]]},"references-count":24,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["3653"],"URL":"https:\/\/doi.org\/10.1007\/s00234-025-03653-7","relation":{},"ISSN":["0028-3940","1432-1920"],"issn-type":[{"value":"0028-3940","type":"print"},{"value":"1432-1920","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,22]]},"assertion":[{"value":"19 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 May 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Ethics Committee of Ege University Faculty of Medicine (Approval Number: 2025\u20134998\/25-4 T\/87). All participants provided written informed consent to participate in this study. The research was conducted in accordance with the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}