Two Patients with Large Aneurysms in Whom Coil Embolization with Overlapping LVIS Stents Was Performed

OBJECTIVE: We report two patients with unruptured large aneurysms treated by overlapping stent-assisted coil embolization using low-profile visualized intraluminal support (LVIS) stents. CASE PRESENTATION: Case 1: An 80-year-old woman presented with abducens nerve palsy due to an internal carotid ar...

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Detalles Bibliográficos
Autores principales: Kimura, Hajime, Fujimoto, Kenta, Chatani, Megumi, Kishi, Fumihisa, Hayami, Hiromichi, Fujimoto, Takatoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370892/
https://www.ncbi.nlm.nih.gov/pubmed/37502781
http://dx.doi.org/10.5797/jnet.cr.2020-0139
Descripción
Sumario:OBJECTIVE: We report two patients with unruptured large aneurysms treated by overlapping stent-assisted coil embolization using low-profile visualized intraluminal support (LVIS) stents. CASE PRESENTATION: Case 1: An 80-year-old woman presented with abducens nerve palsy due to an internal carotid artery aneurysm. Case 2: A 75-year-old man presented with a partially thrombosed fusiform aneurysm in the vertebral artery (VA). Both patients were treated by overlapping LVIS stent-assisted coil embolization (overlapping LSACE). Digital subtraction angiography (DSA) a few months after embolization demonstrated complete occlusion of the aneurysm, although immediate angiography revealed dome filling. CONCLUSION: Overlapping LSACE may be an effective treatment method for aneurysms that are difficult to treat by standard SACE and result in better flow-diverting effects.

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