Stent-assisted coiling of intracranial aneurysms located on small vessels: midterm results with the LVIS Junior stent in 40 patients with 43 aneurysms

Alghamdi, Faisal; Mine, Benjamin; Morais, Ricardo; Scillia, Pietro; Lubicz, Boris

doi:10.1007/s00234-016-1668-z

Cited by 35 publications

(36 citation statements)

References 33 publications

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“…Alghamdi et al found similar results in a smaller series, in which the mean distal vessel diameter was 1.9 mm. In their study one case of 43 aneurysms treated had symptomatic intra-stent stenosis, which occurred at 6 months after the patient stopped their Plavix and aspirin 12. In our series, we had no cases of delayed complications.…”

Section: Discussionmentioning

confidence: 47%

Treatment of wide-necked aneurysms with the Low-profile Visualized Intraluminal Support (LVIS Jr) device: a multicenter experience

Grossberg¹,

Hanel

Dabus³

et al. 2016

J NeuroIntervent Surg

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Section: Discussionmentioning

confidence: 47%

Treatment of wide-necked aneurysms with the Low-profile Visualized Intraluminal Support (LVIS Jr) device: a multicenter experience

Grossberg¹,

Hanel

Dabus³

et al. 2016

J NeuroIntervent Surg

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“…Thus, surgeons have recently been using the Leo Baby and LVIS Jr stents in small cerebral arteries. However, according to 2 case series reported by Aydin et al 11 and Alghamdi et al, 10 thromboembolic events and in-stent stenosis are also not negligible in the deployment of the LEO Baby and LVIS Jr stents in small cerebral arteries. In addition, the LEO Baby and LVIS Jr stents have not been approved for aneurysm treatment in our country.…”

Section: Discussionmentioning

confidence: 97%

Preliminary Experience with Stent-Assisted Coiling of Aneurysms Arising from Small (<2.5 mm) Cerebral Vessels Using The Low-Profile Visualized Intraluminal Support Device

Wang¹,

Li²,

Feng³

et al. 2017

AJNR Am J Neuroradiol

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“…Previous series have reported low rates of deployment failure and ease of navigability with the LVIS Jr device [20][21][22][23]. Conrad et al [24] described the first 2 cases of Y-stenting with the LVIS Jr stent for the treatment of basilar tip aneurysms.…”

Section: Discussionmentioning

confidence: 99%

LVIS Jr Device for Y-Stent-Assisted Coil Embolization of Wide-Neck Intracranial Aneurysms: A Multicenter Experience

et al. 2018

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Background and Purpose: Complex wide-neck intracranial aneurysms are challenging to treat. We report a multicenter experience using the LVIS Jr stent for “Y-stent”-assisted coiling embolization of wide-neck bifurcation aneurysms. Methods: Seven centers provided retrospective data on patients who underwent Y-stenting. Technical complications, immediate posttreatment angiographic results, clinical outcomes, and imaging follow-up were assessed. Results: Thirty patients/aneurysms were treated: 15 basilar tip, 8 middle cerebral artery, 4 anterior communicating artery, 1 pericallosal, and 2 posterior inferior cerebellar artery aneurysms. The mean aneurysm size was 11 mm and the mean dome-to-neck ratio was 1.3 mm. Twenty-four aneurysms were unruptured and treated electively, and 6 were acutely ruptured. Fifty-eight LVIS Jr stents were successfully deployed without any technical issue. One procedural and transient in-stent thrombosis resolved with the intravenous infusion of a glycoprotein IIb/IIIa inhibitor. Five periprocedural complications (within 30 days) occurred: 2 periprocedural neurological complications (1 small temporal stroke that presented with transient aphasia and 1 posterior cerebral artery infarct) and 3 nonneurological periprocedural complications (2 retroperitoneal hematomas, and 1 patient developed a disseminated intravascular coagulopathy). One permanent complication (3.3%) directly related to Y-stenting was reported in the patient who suffered the posterior cerebral artery infarct. Immediate complete obliteration (Raymond-Roy Occlusion Classification [RROC] I–II) was achieved in 26 cases (89.6%). Twenty-four patients had clinical and imaging follow-up (mean 5.2 months). Complete angiographic occlusion (RROC I–II) was observed in 23 patients (96%). A good functional outcome with a modified Rankin Scale score ≤2 was achieved in 26 cases. Conclusions: In this multicenter case series, Y-stent-assisted coiling of wide-neck aneurysms with the LVIS Jr device was feasible and relatively safe. Follow-up imaging demonstrated very low recanalization rates.

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Stent-assisted coiling of intracranial aneurysms located on small vessels: midterm results with the LVIS Junior stent in 40 patients with 43 aneurysms

Abstract: The LVIS Junior stent appears safe and effective for endovascular treatment of wide-neck intracranial aneurysms located on small vessels. Midterm results show high rates of adequate and stable occlusion.

Cited by 35 publications

References 33 publications

Treatment of wide-necked aneurysms with the Low-profile Visualized Intraluminal Support (LVIS Jr) device: a multicenter experience

Treatment of wide-necked aneurysms with the Low-profile Visualized Intraluminal Support (LVIS Jr) device: a multicenter experience

Preliminary Experience with Stent-Assisted Coiling of Aneurysms Arising from Small (<2.5 mm) Cerebral Vessels Using The Low-Profile Visualized Intraluminal Support Device

LVIS Jr Device for Y-Stent-Assisted Coil Embolization of Wide-Neck Intracranial Aneurysms: A Multicenter Experience

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