Yan Zhiyuan, Zheng Kuang, Xiong Ye, Lan Fujun, Wang Yunhui, Tan Xianxi, Zhong Ming, Li Zequn
Department of Neurosurgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou City, Zhejiang Province, China.
Department of Neurosurgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou City, Zhejiang Province, China.
World Neurosurg. 2019 May;125:e22-e28. doi: 10.1016/j.wneu.2018.12.142. Epub 2019 Jan 7.
Overlapping stents represent a new paradigm in endovascular interventions, especially for complex and wide-necked aneurysms. The low-profile visualized intraluminal support (LVIS) device is a new generation of self-expanding braided stents recently introduced in China for stent-assisted coiling of intracranial aneurysms. We report several cases of intracranial aneurysms coiled using overlapping LVIS stents to evaluate its efficacy and safety.
Patients with ruptured intracranial aneurysms treated with double LVIS stents at our center between November 2014 and May 2016 were reviewed. The clinical data and technical results are presented.
Ten patients with 15 aneurysms were treated with double LVIS stents, with a 100% technical success rate. No mortality was observed. Immediate angiographic outcome evaluation showed complete occlusion in 13 aneurysms (86.7%) and neck remnants in 2 aneurysms (13.3%).
Double LVIS stents are safe and effective in the treatment of intracranial aneurysms, especially complex aneurysms.
重叠支架代表了血管内介入治疗的一种新范式，尤其适用于复杂和宽颈动脉瘤。低轮廓可视化腔内支撑（LVIS）装置是新一代自膨式编织支架，最近在中国被引入用于颅内动脉瘤的支架辅助栓塞治疗。我们报告了几例使用重叠LVIS支架进行栓塞治疗的颅内动脉瘤病例，以评估其有效性和安全性。
回顾了2014年11月至2016年5月期间在我们中心接受双LVIS支架治疗的破裂颅内动脉瘤患者。展示了临床数据和技术结果。
10例患者的15个动脉瘤接受了双LVIS支架治疗，技术成功率为100%。未观察到死亡病例。即时血管造影结果评估显示，13个动脉瘤（86.7%）完全闭塞，2个动脉瘤（13.3%）有颈部残留。
双LVIS支架在治疗颅内动脉瘤，尤其是复杂动脉瘤方面是安全有效的。
