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Is Single Low-Profile Visualized Intraluminal Support (LVIS)-Assisted Coiling of Wide-Necked Ruptured Multiple Intracranial Aneurysms in One Stage Feasible?
Peng,Tangming1,2; Huang,Changren2; Jiang,Yong2; Wan,Weifeng2; Yang,Xiaobo2; Liu,Aihua3,4; Chen,Ligang2; Zheng,Wenhua1
2018-10-01
Source PublicationWorld Neurosurgery
ISSN1878-8750
Volume118Pages:e388-e394
Abstract

Objective: There is no previous reports available on stent-assisted coiling of ruptured multiple intracranial aneurysms using single Low-Profile Visualized Intraluminal Support (LVIS) in one stage. In the present study, we investigated the efficacy and feasibility of using single LVIS to bridge multiple intracranial aneurysms in one stage. Methods: From April 2014 to August 2016, 24 patients treated with single LVIS to bridge 2 aneurysms in one stage were reviewed. The aneurysm morphology, clinical outcome, angiographic results, progressive occlusion, recurrence, and procedure-related complications were analyzed retrospectively. Results: In the present study, middle term clinical outcome showed that 9 patients were had a modified Rankin Scale (mRS) score of 0, 11 patients had mRS 1, and 4 patients had mRS 2. A total of 20 patients (83.3%) achieved a good outcome, 4 patients (16.7%) had poor outcomes, and 7 of 18 patients (38.9%) displayed improved clinical neurologic status in long-term follow-up. Immediate angiographic results postprocedure showed Raymond Scale (RS) I in 33 aneurysms (68.8%), RS II in 11 aneurysms (22.9%), and RS III in 4 aneurysms (8.3%). The angiographic follow-up results showed RS I in 41 aneurysms (85.4%), RS II in 5 aneurysms (10.4%), and RS III in 2 aneurysms (4.2%). Of 15 incomplete occlusion aneurysms postprocedure, 10 aneurysms (66.7%) achieved to progressed occlusion on follow-up imaging, and no recanalization or mortality occurred in this group. Conclusions: Single LVIS bridging wide-neck ruptured multiple intracranial aneurysms was effective and feasible in one stage. However, the procedure-related complications should be emphasized and long-term follow-up requires further evaluation.

KeywordFollow-up Intracranial Aneurysm Multiple One Stage Ruptured Stent-assisted Coiling
DOI10.1016/j.wneu.2018.06.200
URLView the original
Language英語English
WOS IDWOS:000445032000051
Scopus ID2-s2.0-85050481332
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Document TypeJournal article
CollectionDEPARTMENT OF PHARMACEUTICAL SCIENCES
Corresponding AuthorChen,Ligang; Zheng,Wenhua
Affiliation1.Faculty of Health Sciences,University of Macau,Macau,Macao
2.Department of Neurosurgery,Affiliated Hospital of Southwest Medical University,Sichuan Sheng,China
3.Department of Interventional Neuroradiology,Beijing Tiantan Hospital,Capital Medical University,Beijing,China
4.Beijing Neurosurgical Institute,Beijing,China
First Author AffilicationFaculty of Health Sciences
Corresponding Author AffilicationFaculty of Health Sciences
Recommended Citation
GB/T 7714
Peng,Tangming,Huang,Changren,Jiang,Yong,et al. Is Single Low-Profile Visualized Intraluminal Support (LVIS)-Assisted Coiling of Wide-Necked Ruptured Multiple Intracranial Aneurysms in One Stage Feasible?[J]. World Neurosurgery, 2018, 118, e388-e394.
APA Peng,Tangming., Huang,Changren., Jiang,Yong., Wan,Weifeng., Yang,Xiaobo., Liu,Aihua., Chen,Ligang., & Zheng,Wenhua (2018). Is Single Low-Profile Visualized Intraluminal Support (LVIS)-Assisted Coiling of Wide-Necked Ruptured Multiple Intracranial Aneurysms in One Stage Feasible?. World Neurosurgery, 118, e388-e394.
MLA Peng,Tangming,et al."Is Single Low-Profile Visualized Intraluminal Support (LVIS)-Assisted Coiling of Wide-Necked Ruptured Multiple Intracranial Aneurysms in One Stage Feasible?".World Neurosurgery 118(2018):e388-e394.
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