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Journal of Neurorestoratology 2019, 7(4): 235-241 https://doi.org/10.26599/JNR.2019.9040025
Research Article | Open Access | Issue | Published: 17 January 2020

Small ruptured and unruptured complex cerebral aneurysms: Single center experience of low-profile visualized intraluminal support stent

Show Author's Information Xianli Lv( ),  Chuhan Jiang,  Shikai Liang
Department of Neurosurgery, School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing 102218, China
Keywords:
reconstruction, complex, cerebral aneurysms, low-profile visualized intraluminal support device, stent
Cite this article:
Lv X, Jiang C, Liang S. Small ruptured and unruptured complex cerebral aneurysms: Single center experience of low-profile visualized intraluminal support stent. Journal of Neurorestoratology, 2019, 7(4): 235-241. https://doi.org/10.26599/JNR.2019.9040025
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Abstract Full text About this article
Objectives:

Even though low-profile visualized intraluminal support (LVIS) device is used extensively currently and provide intraluminal support in complex cerebral aneurysm embolization, only few studies have reported its clinical results. This study presents the results of patients treated with LVIS.

Patients and methods:

Cerebral aneurysms with an undefined neck, fusiform shape, and blood blister-like aneurysms that were treated with LVIS between May 2017 and May 2019 were reviewed retrospectively.

Results:

Overall, 112 aneurysms in 104 patients were treated using LVIS, and 105 LVISs were placed. Of these, 101 aneurysms (90%) were small (< 10 mm) in size, 17 were fusiform aneurysms, and 3 were blood blister-like aneurysms. Overall, 39 patients suffered a subarachnoid hemorrhage and 65 had no bleeding history. 2 patients died of internal carotid artery (ICA) thrombosis, resulting in 1.9% mortality rate. Follow-up angiography was obtained in 68 patients (65%), and the complete obliteration rate was 98.5% in 6–12 months.

Conclusion:

The LVIS is a safe and effective treatment for small ruptured or unruptured complex intracranial aneurysms.


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Abstract
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About this article

Small ruptured and unruptured complex cerebral aneurysms: Single center experience of low-profile visualized intraluminal support stent

Show Author's information Xianli Lv( ), Chuhan Jiang, Shikai Liang
Department of Neurosurgery, School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing 102218, China

Abstract

Objectives:

Even though low-profile visualized intraluminal support (LVIS) device is used extensively currently and provide intraluminal support in complex cerebral aneurysm embolization, only few studies have reported its clinical results. This study presents the results of patients treated with LVIS.

Patients and methods:

Cerebral aneurysms with an undefined neck, fusiform shape, and blood blister-like aneurysms that were treated with LVIS between May 2017 and May 2019 were reviewed retrospectively.

Results:

Overall, 112 aneurysms in 104 patients were treated using LVIS, and 105 LVISs were placed. Of these, 101 aneurysms (90%) were small (< 10 mm) in size, 17 were fusiform aneurysms, and 3 were blood blister-like aneurysms. Overall, 39 patients suffered a subarachnoid hemorrhage and 65 had no bleeding history. 2 patients died of internal carotid artery (ICA) thrombosis, resulting in 1.9% mortality rate. Follow-up angiography was obtained in 68 patients (65%), and the complete obliteration rate was 98.5% in 6–12 months.

Conclusion:

The LVIS is a safe and effective treatment for small ruptured or unruptured complex intracranial aneurysms.

Keywords: reconstruction, complex, cerebral aneurysms, low-profile visualized intraluminal support device, stent

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Publication history
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Publication history

Received: 06 September 2019
Revised: 29 November 2019
Accepted: 24 December 2019
Published: 17 January 2020
Issue date: December 2019

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© The authors 2019

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This article is published with open access at http://jnr.tsinghuajournals.com

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