Abstract：Objective: To study the efficacy of LVIS stent assisted embolization for intracranial small aneurysms. Methods: Clinical data of 80 patients with intracranial small aneurysms who underwent LVIS stent-assisted embolization from April 2015 to April 2017were selected, the surgical outcome and prognosis were analyzed. Results: All 80 patients were successfully embolized, the success rate was 100%, immediate postoperative angiography showed that Raymond grade I embolism was 76.25% (61/80), grade II embolism was 21.25% (17/80), and grade III embolism was 2.50% (2/80), there was 1 cases of stent thrombosis occurred during operation, 2 cases of stent thrombosis occurred after post operation 72h, the incidence was 3.75% (3/80), no perioperative bleeding, transient or permanent neurological deficits and death occurred in all patients; the time from operation to discharge was 8~23d, with an average of (15.48±3.94) d. the Hunt-Hess classification improved significantly at discharge compared with admission(P<0.05); the follow-up time was 7~11 months, with an average of (9.34±1.24) months; during the follow-up period, the patients with Raymond grade I embolization remained stable without recurrence, the patients with grade II and III embolism had no aneurysm or aneurysm; the mRS score showed that there were 75 cases in 0 scores, 5 cases in 1~2 scores, and no case died during the follow-up period. Conclusion: LVIS stent assisted embolization is well for intracranial small aneurysms, the incidence of perioperative complications is low, the long-term prognosis is good, and the clinical value is high.
吕光淘, 王海全, 王德明, 黄小龙. LVIS支架辅助栓塞颅内微小动脉瘤的疗效及预后随访分析[J]. 河北医学, 2019, 25(2): 284-287.
LV Guangtao, WANG Haiquan, WANG Deming, et al. Efficacy and Prognosis of LVIS Stent Assisted Embolization for Intracranial Small Aneurysms. HeBei Med, 2019, 25(2): 284-287.
[1] 何科君,齐铁伟,郭少雷,等.颅内微小动脉瘤的治疗[J].中国微侵袭神经外科杂志,2014,19(6):255~257. [2] 杨少春,黄小玉,邱传珍,等.颅内破裂微小动脉瘤介入栓塞治疗技术探讨[J].介入放射学杂志,2016,25(1):11~14 [3] Samaniego EA, Mendez AA, Nguyen TN, et al. LVIS Jr device for Y-stent-assisted coil embolization of wide-neck intracranial aneurysms: a multicenter experience[J]. Interv Neurol,2018,7(5):271~283. [4] 李立,李天晓,王子亮,等.LVIS支架辅助栓塞小型颅内动脉瘤的初步经验[J].中华神经外科杂志,2016,32(4):373~376. [5] 王忠诚.王忠诚.神经外科学[M].武汉:湖北科学技术出版社,2005.761~763. [6] Cho SH, Jo WI, Jo YE, et al. Bench-top comparison of physical properties of 4 commercially-available self-expanding intracranial stents[J]. Neurointervention,2017,12(1):31~39. [7] Shankar JJS, Quateen A, Weill A, et al. Canadian Registry of LVIS Jr for Treatment of Intracranial Aneurysms (CaRLA)[J].Neurointerv Surg, 2017, 9(9): 849~853. [8] Iosif C, Piotin M, Saleme S, et al. Safety and effectiveness of the low profile visualized intraluminal support (LVIS and LVIS Jr) devices in the endovascular treatment of intracranial aneurysms: results of the TRAIL multicenter observational study[J].Neurointerv Surg,2018,10(7):675~681. [9] Grossberg JA, Hanel RA, Dabus G, et al. Treatment of wide-necked aneurysms with the low-profile visualized intraluminal support (LVIS Jr) device: a multicenter experience[J].Neurointerv Surg,2017,9(11):1098~1102 [10] 张明铭,欧阳奕安,黄昊,等.LVIS支架在颅内微小动脉瘤中的应用[J].中南大学学报(医学版),2016,41(8):821~825. [11] Santillan A, Boddu S, Schwarz J, et al. LVIS Jr. stent for treatment of intracranial aneurysms with parent vessel diameter of 2.5 mmorless[J]. Interv Neuroradiol, 2018, 24(3): 246~253.
2019, Vol. 25 
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