Is Single Low-Profile Visualized Intraluminal Support (LVIS)-Assisted Coiling of Wide-Necked Ruptured Multiple Intracranial Aneurysms in One Stage Feasible?
机构:[1]Faculty of Health Sciences, University of Macau, Macau[2]Department of Neurosurgery, Affiliated Hospital of Southwest Medical University, Sichuan Sheng[3]Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing重点科室医技科室放射科放射科首都医科大学附属天坛医院[4]Beijing Neurosurgical Institute, Beijing, China研究所北京市神经外科研究所首都医科大学附属天坛医院
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.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81371319]; Science and Technology Foundation of Sichuan [2016065]; Youth Foundation of Sichuan Provincial Department of Education [2016-JYT033]; Science and Technology Foundation of Luzhou [15192]
第一作者机构:[1]Faculty of Health Sciences, University of Macau, Macau[2]Department of Neurosurgery, Affiliated Hospital of Southwest Medical University, Sichuan Sheng
通讯作者:
通讯机构:[1]Faculty of Health Sciences, University of Macau, Macau[2]Department of Neurosurgery, Affiliated Hospital of Southwest Medical University, Sichuan Sheng
推荐引用方式(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.doi:10.1016/j.wneu.2018.06.200.
APA:
Peng, Tangming,Huang, Changren,Jiang, Yong,Wan, Weifeng,Yang, Xiaobo...&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,
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