Low-profile visible intraluminal support stent-assisted embolization therapy for intracranial dissecting aneurysms: A retrospective analysis of six cases

Abstract

Endovascular Embolization (EVE) of aneurysms is a very effective and efficient treatment modality. Nevertheless, a few complications have been reported after EVE of aneurysms. Our study therefore evaluated the safety and efficacy of Low-profile Visible Intraluminal Support (LVIS) stentassisted EVE for intracranial Dissecting Aneurysms (DAs). We conducted a retrospective study to identify patients with DAs who were treated with LVIS stent from July 2015 to September 2018. The DAs were categoried into ruptured and unruptured. The arteries harbouring the aneurysm were identified in all cases. LVIS device stent assisted coil EVE treatment modality was utilized to treat all the patients. Surgical safety, immediate surgery outcome, recurrence rate and imaging follow-up results of all patients were analysed. The Glasgow Outcome Scale (GOS) score of all patients where assessed during discharge. Cerebral angiography of all patients were reevaluated on scheduled visits from three months up to one year after their operations. A total of Six DA patients were identified during our analysis. Four of the cases were ruptured DAs while two cases were unruptured. The DAs originated from the Internal Carotid Artery (ICA) in two cases, while in the remaining four cases, the DAs originated from vertebral artery (VA). Stents and coils were successfully implanted in all six patients. The DAs were embolized satisfactorily and the parent arteries were patent immediately after the operations. We obsereved 5 points GOS score in four cases and 4 points in two cases. No aneurysmal recurrece, no stent collapse or displacement was obsereved in all cases during follow-ups. Our study suggests that, LVIS stent-assisted EVE is simple, safe and effective in the treatment of DAs.

A fenestrated persistent primitive hypoglossal artery harboring a ruptured aneurysm

“…[23,24] These devices are flexible, braided microstent made purposely for the stent-assisted coiling of wide-necked intracranial aneurysms. [24,25] They have demonstrated to be effective as well as efficient embolization treatment option for intracranial aneurysms. [23,24] They have good compliance as well as vascular accesses.…”

“…LVIS device is a new brand of intracranial stent in recent years [23,24] . These devices are flexible, braided microstent made purposely for the stent-assisted coiling of wide-necked intracranial aneurysms [24,25] .…”

“…These devices are flexible, braided microstent made purposely for the stent-assisted coiling of wide-necked intracranial aneurysms [24,25] . They have demonstrated to be effective as well as efficient embolization treatment option for intracranial aneurysms [23,24] . They have good compliance as well as vascular accesses [24] …”

“…[24,25] They have demonstrated to be effective as well as efficient embolization treatment option for intracranial aneurysms. [23,24] They have good compliance as well as vascular accesses. [24]…”