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Clinical study of LVIS stent in the treatment of intracranial aneurysms |
LIU Yong, LI Jianmin |
Department of Neurosurgery,Binzhou Medical University Hospital,Binzhou 256603,P.R.China |
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Abstract Objective To explore the efficacy and safety of LVIS stent in the treatment of intracranial aneurysms,and to provide basis for the clinical treatment of intracranial aneurysms and the rational selection of the internal stent.Methods From January 2015 to December 2017 in our hospital, clinical data of 40 cases (43 aneurysms) with spontaneous subarachnoid hemorrhage by CTA or DSA were diagnosed as intracranial aneurysms and underwent LVIS and stent assisted coil embolization, and the clinical data were retrospectively analyzed.Results All of the 43 aneurysms were successfully embolized.All the stents were successfully released.Immediately after operation,the results of cerebral angiography showed that 27 cases (67.5%) were completely embolized,11 cases (27.5%) were near total embolism,5 cases (12.5%) were partial embolization,and the effective rate of embolization was 87.5%.Of these,1 was ruptured in the operation,and 1 was all cerebral infarction and died after the operation.Six months follow-up after the operation,mRS score were as follows:0 point 32 cases,1 point 3 cases,2 points 3 cases,3 points 1 cases, and the good rate was 95%.In the reexamination of cerebral angiography,complete embolization was 87.5%, and the recurrence rate was 10%.Conclusion LVIS stent assisted embolization of intracranial aneurysms is a safe and effective method. However, a larger sample needs to be studied and the results of long-term follow-up are required.
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Received: 10 February 2018
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