Cargando…
Endovascular Treatment of Ruptured Wide-Necked Anterior Communicating Artery Aneurysms Using a Low-Profile Visualized Intraluminal Support (LVIS) Device
Objective: To evaluate the safety and efficacy of low-profile visualized intraluminal support (LVIS) stent-assisted coiling for the treatment of ruptured wide-necked anterior communicating artery (ACoA) aneurysms. Methods: The clinical and angiographic data of 31 acutely ruptured wide-necked ACoA an...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7876256/ https://www.ncbi.nlm.nih.gov/pubmed/33584512 http://dx.doi.org/10.3389/fneur.2020.611875 |
_version_ | 1783649933248692224 |
---|---|
author | Xue, Gaici Liu, Peng Xu, Fengfeng Fang, Yibin Li, Qiang Hong, Bo Xu, Yi Liu, Jianmin Huang, Qinghai |
author_facet | Xue, Gaici Liu, Peng Xu, Fengfeng Fang, Yibin Li, Qiang Hong, Bo Xu, Yi Liu, Jianmin Huang, Qinghai |
author_sort | Xue, Gaici |
collection | PubMed |
description | Objective: To evaluate the safety and efficacy of low-profile visualized intraluminal support (LVIS) stent-assisted coiling for the treatment of ruptured wide-necked anterior communicating artery (ACoA) aneurysms. Methods: The clinical and angiographic data of 31 acutely ruptured wide-necked ACoA aneurysms treated with LVIS stent-assisted coiling between January 2014 and December 2018 were retrospectively reviewed. Results: All stents were successfully deployed. The immediate angiographic results were modified Raymond-Roy class I in 27 cases, modified Raymond-Roy class II in 2 cases, and modified Raymond-Roy class IIIa in 2 cases. Intraoperative thrombosis and postoperative aneurysmal rebleeding occurred in one case each. Two patients (6.5%) who were admitted due to poor clinical grade conditions died during hospital admission as a result of initial bleeding. Angiographic follow-up (mean: 12.9 months) was performed for 26 patients, the results of which demonstrated that 25 aneurysms were completely occluded and one was class II. The last clinical follow-up (mean: 25.3 months) outcomes demonstrated that 27 patients had favorable clinical outcomes and two had poor clinical outcomes. Conclusion: LVIS stent-assisted coiling for ruptured wide-necked ACoA aneurysms was safe and effective, with a relatively low rate of perioperative complications and a high rate of complete occlusion at follow-up. |
format | Online Article Text |
id | pubmed-7876256 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78762562021-02-12 Endovascular Treatment of Ruptured Wide-Necked Anterior Communicating Artery Aneurysms Using a Low-Profile Visualized Intraluminal Support (LVIS) Device Xue, Gaici Liu, Peng Xu, Fengfeng Fang, Yibin Li, Qiang Hong, Bo Xu, Yi Liu, Jianmin Huang, Qinghai Front Neurol Neurology Objective: To evaluate the safety and efficacy of low-profile visualized intraluminal support (LVIS) stent-assisted coiling for the treatment of ruptured wide-necked anterior communicating artery (ACoA) aneurysms. Methods: The clinical and angiographic data of 31 acutely ruptured wide-necked ACoA aneurysms treated with LVIS stent-assisted coiling between January 2014 and December 2018 were retrospectively reviewed. Results: All stents were successfully deployed. The immediate angiographic results were modified Raymond-Roy class I in 27 cases, modified Raymond-Roy class II in 2 cases, and modified Raymond-Roy class IIIa in 2 cases. Intraoperative thrombosis and postoperative aneurysmal rebleeding occurred in one case each. Two patients (6.5%) who were admitted due to poor clinical grade conditions died during hospital admission as a result of initial bleeding. Angiographic follow-up (mean: 12.9 months) was performed for 26 patients, the results of which demonstrated that 25 aneurysms were completely occluded and one was class II. The last clinical follow-up (mean: 25.3 months) outcomes demonstrated that 27 patients had favorable clinical outcomes and two had poor clinical outcomes. Conclusion: LVIS stent-assisted coiling for ruptured wide-necked ACoA aneurysms was safe and effective, with a relatively low rate of perioperative complications and a high rate of complete occlusion at follow-up. Frontiers Media S.A. 2021-01-28 /pmc/articles/PMC7876256/ /pubmed/33584512 http://dx.doi.org/10.3389/fneur.2020.611875 Text en Copyright © 2021 Xue, Liu, Xu, Fang, Li, Hong, Xu, Liu and Huang. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Xue, Gaici Liu, Peng Xu, Fengfeng Fang, Yibin Li, Qiang Hong, Bo Xu, Yi Liu, Jianmin Huang, Qinghai Endovascular Treatment of Ruptured Wide-Necked Anterior Communicating Artery Aneurysms Using a Low-Profile Visualized Intraluminal Support (LVIS) Device |
title | Endovascular Treatment of Ruptured Wide-Necked Anterior Communicating Artery Aneurysms Using a Low-Profile Visualized Intraluminal Support (LVIS) Device |
title_full | Endovascular Treatment of Ruptured Wide-Necked Anterior Communicating Artery Aneurysms Using a Low-Profile Visualized Intraluminal Support (LVIS) Device |
title_fullStr | Endovascular Treatment of Ruptured Wide-Necked Anterior Communicating Artery Aneurysms Using a Low-Profile Visualized Intraluminal Support (LVIS) Device |
title_full_unstemmed | Endovascular Treatment of Ruptured Wide-Necked Anterior Communicating Artery Aneurysms Using a Low-Profile Visualized Intraluminal Support (LVIS) Device |
title_short | Endovascular Treatment of Ruptured Wide-Necked Anterior Communicating Artery Aneurysms Using a Low-Profile Visualized Intraluminal Support (LVIS) Device |
title_sort | endovascular treatment of ruptured wide-necked anterior communicating artery aneurysms using a low-profile visualized intraluminal support (lvis) device |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7876256/ https://www.ncbi.nlm.nih.gov/pubmed/33584512 http://dx.doi.org/10.3389/fneur.2020.611875 |
work_keys_str_mv | AT xuegaici endovasculartreatmentofrupturedwideneckedanteriorcommunicatingarteryaneurysmsusingalowprofilevisualizedintraluminalsupportlvisdevice AT liupeng endovasculartreatmentofrupturedwideneckedanteriorcommunicatingarteryaneurysmsusingalowprofilevisualizedintraluminalsupportlvisdevice AT xufengfeng endovasculartreatmentofrupturedwideneckedanteriorcommunicatingarteryaneurysmsusingalowprofilevisualizedintraluminalsupportlvisdevice AT fangyibin endovasculartreatmentofrupturedwideneckedanteriorcommunicatingarteryaneurysmsusingalowprofilevisualizedintraluminalsupportlvisdevice AT liqiang endovasculartreatmentofrupturedwideneckedanteriorcommunicatingarteryaneurysmsusingalowprofilevisualizedintraluminalsupportlvisdevice AT hongbo endovasculartreatmentofrupturedwideneckedanteriorcommunicatingarteryaneurysmsusingalowprofilevisualizedintraluminalsupportlvisdevice AT xuyi endovasculartreatmentofrupturedwideneckedanteriorcommunicatingarteryaneurysmsusingalowprofilevisualizedintraluminalsupportlvisdevice AT liujianmin endovasculartreatmentofrupturedwideneckedanteriorcommunicatingarteryaneurysmsusingalowprofilevisualizedintraluminalsupportlvisdevice AT huangqinghai endovasculartreatmentofrupturedwideneckedanteriorcommunicatingarteryaneurysmsusingalowprofilevisualizedintraluminalsupportlvisdevice |