T-Configuration Horizontal Low-Profile Visualized Intraluminal Support (LVIS Jr) Device-Assisted Coiling for Treatment of Basilar Tip Aneurysms: A Technical Note.
World Neurosurg
; 129: 428-431, 2019 Sep.
Article
in En
| MEDLINE
| ID: mdl-31158535
ABSTRACT
BACKGROUND:
Provided certain anatomic considerations, stent-assisted coiling of basilar apex aneurysms can be performed using a single stent placed in a horizontal T-configuration across the aneurysm neck prior to coil deployment, although this has predominantly been described using older-generation stents. The development of the Low-profile Visualized Intraluminal Support (LVIS Jr) device has provided greater versatility than previous stents, including use in smaller vessels, the ability to be resheathed, and improved flow diversion properties.METHODS:
To our knowledge, we report the first use of the LVIS Jr device in a horizontal T-configuration across the aneurysm neck prior to coil deployment in 2 patients for the treatment of basilar apex aneurysms. This technique requires robust posterior communicating artery aneurysms and a second site of vascular access.RESULTS:
Both patients demonstrated good outcomes following the procedure with no adverse sequelae. One patient required retreatment for recurrence after 1 year and was able to undergo further coiling without difficulty.CONCLUSIONS:
Use of the LVIS Jr device allows greater versatility in horizontal T-configuration stent-assisted coil embolization, when compared with other available intracranial stents. This provides another tool to treat basilar apex aneurysms with improved coil occlusion and a theoretically decreased risk of thromboembolic events.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Intracranial Aneurysm
/
Embolization, Therapeutic
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
World Neurosurg
Year:
2019
Document type:
Article