The safety and efficacy of the LVIS stent for the treatment of ruptured intracranial aneurysms within 24â¯hours: A multicenter retrospective study.
Clin Neurol Neurosurg
; 197: 106117, 2020 10.
Article
em En
| MEDLINE
| ID: mdl-32745790
ABSTRACT
OBJECTIVE:
Stent-assisted coiling is increasingly used in the treatment of acutely ruptured intracranial aneurysms. However, the optimal timing of the stent-assisted coiling remains unknown. We aimed to investigate the safety and efficacy of the Low Profile Visualized Intraluminal Support (LVIS) stent for ruptured aneurysms treatment within 24â¯h comparing to the treatment between 25 and 72â¯h of symptom onset. PATIENTS ANDMETHODS:
We conducted a multicenter retrospective study on 110 consecutive patients with ruptured intracranial aneurysms. These patients were treated with LVIS stent within 72â¯h in four tertiary hospitals between January 2017 and December 2017. The timing of treatment was grouped into the treatment within 24â¯h and the treatment between 25 and 72â¯h. Baseline characteristics, periprocedural complications, angiographic results, and clinical outcomes were compared between the two groups.RESULTS:
A total of 101 patients were included. 49 (48.5 %) patients were treated within 24â¯h and 52 (51.5 %) within between 25 and 72â¯h. Periprocedural complications occurred in 2 (4.1 %) patients treated within 24â¯h compared with those in 10 (19.2 %) treated between 25-72â¯h (Pâ¯=â¯0.032). No early rebleeding occurred in both groups. 45 (91.8 %) of 49 aneurysms had complete occlusion on immediate angiography compared with 46 (88.5 %) of 52 aneurysms had complete occlusion. 2 (2.0 %) aneurysms were retreated. The clinical outcomes and angiographic results did not differ between the two groups.CONCLUSIONS:
The LVIS stent-assisted coiling may be safe and effective in the treatment of selected patients with ruptured aneurysms within 24â¯h of symptom onset.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Stents
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Aneurisma Intracraniano
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Aneurisma Roto
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Embolização Terapêutica
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Procedimentos Endovasculares
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Clin Neurol Neurosurg
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
China