The safety and efficacy of the LVIS stent for the treatment of ruptured intracranial aneurysms within 24 hours: A multicenter retrospective study
•A multicenter cohort of patients with acutely ruptured intracranial aneurysms treated stent-assisted coiling.•A lower rate of perioperative complications in the treatment within 24 h.•The LVIS stent achieved a high complete aneurysm occlusion.•Clinical outcomes and angiographic results did not diff...
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| Veröffentlicht in: | Clinical neurology and neurosurgery 2020-10, Vol.197, p.106117-106117, Article 106117 |
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| container_title | Clinical neurology and neurosurgery |
| container_volume | 197 |
| creator | Wang, Xianggan Xing, Haixia Cai, Jing Jin, Dianshi Chen, Yongchun Cui, Yudi Ding, Shenghao Wan, Jieqing Pan, Yaohua Mao, Guohua Zhao, Bing |
| description | •A multicenter cohort of patients with acutely ruptured intracranial aneurysms treated stent-assisted coiling.•A lower rate of perioperative complications in the treatment within 24 h.•The LVIS stent achieved a high complete aneurysm occlusion.•Clinical outcomes and angiographic results did not differ between the treatment of 24 h and that between 25−72 h.
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 24 h comparing to the treatment between 25 and 72 h of symptom onset.
We conducted a multicenter retrospective study on 110 consecutive patients with ruptured intracranial aneurysms. These patients were treated with LVIS stent within 72 h in four tertiary hospitals between January 2017 and December 2017. The timing of treatment was grouped into the treatment within 24 h and the treatment between 25 and 72 h. Baseline characteristics, periprocedural complications, angiographic results, and clinical outcomes were compared between the two groups.
A total of 101 patients were included. 49 (48.5 %) patients were treated within 24 h and 52 (51.5 %) within between 25 and 72 h. Periprocedural complications occurred in 2 (4.1 %) patients treated within 24 h compared with those in 10 (19.2 %) treated between 25−72 h (P = 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.
The LVIS stent-assisted coiling may be safe and effective in the treatment of selected patients with ruptured aneurysms within 24 h of symptom onset. |
| doi_str_mv | 10.1016/j.clineuro.2020.106117 |
| format | Article |
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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 24 h comparing to the treatment between 25 and 72 h of symptom onset.
We conducted a multicenter retrospective study on 110 consecutive patients with ruptured intracranial aneurysms. These patients were treated with LVIS stent within 72 h in four tertiary hospitals between January 2017 and December 2017. The timing of treatment was grouped into the treatment within 24 h and the treatment between 25 and 72 h. Baseline characteristics, periprocedural complications, angiographic results, and clinical outcomes were compared between the two groups.
A total of 101 patients were included. 49 (48.5 %) patients were treated within 24 h and 52 (51.5 %) within between 25 and 72 h. Periprocedural complications occurred in 2 (4.1 %) patients treated within 24 h compared with those in 10 (19.2 %) treated between 25−72 h (P = 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.
The LVIS stent-assisted coiling may be safe and effective in the treatment of selected patients with ruptured aneurysms within 24 h of symptom onset.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2020.106117</identifier><identifier>PMID: 32745790</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Aneurysm ; Aneurysms ; Angiography ; Blood clots ; Clinical outcomes ; Coiling ; Complications ; Endovascular coiling ; Hemorrhage ; Implants ; Ischemia ; Medical imaging ; Neurology ; Occlusion ; Patients ; Prognosis ; Ruptured intracranial aneurysm ; Statistical analysis ; Stent-assisted coiling ; Stents</subject><ispartof>Clinical neurology and neurosurgery, 2020-10, Vol.197, p.106117-106117, Article 106117</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. All rights reserved.</rights><rights>2020. Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-a927da65ed3c387916b135a16c159ada208580b0ff72e561f01a3e43382d5ef63</citedby><cites>FETCH-LOGICAL-c396t-a927da65ed3c387916b135a16c159ada208580b0ff72e561f01a3e43382d5ef63</cites><orcidid>0000-0002-2341-1959</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2449454394?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32745790$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Xianggan</creatorcontrib><creatorcontrib>Xing, Haixia</creatorcontrib><creatorcontrib>Cai, Jing</creatorcontrib><creatorcontrib>Jin, Dianshi</creatorcontrib><creatorcontrib>Chen, Yongchun</creatorcontrib><creatorcontrib>Cui, Yudi</creatorcontrib><creatorcontrib>Ding, Shenghao</creatorcontrib><creatorcontrib>Wan, Jieqing</creatorcontrib><creatorcontrib>Pan, Yaohua</creatorcontrib><creatorcontrib>Mao, Guohua</creatorcontrib><creatorcontrib>Zhao, Bing</creatorcontrib><title>The safety and efficacy of the LVIS stent for the treatment of ruptured intracranial aneurysms within 24 hours: A multicenter retrospective study</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>•A multicenter cohort of patients with acutely ruptured intracranial aneurysms treated stent-assisted coiling.•A lower rate of perioperative complications in the treatment within 24 h.•The LVIS stent achieved a high complete aneurysm occlusion.•Clinical outcomes and angiographic results did not differ between the treatment of 24 h and that between 25−72 h.
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 24 h comparing to the treatment between 25 and 72 h of symptom onset.
We conducted a multicenter retrospective study on 110 consecutive patients with ruptured intracranial aneurysms. These patients were treated with LVIS stent within 72 h in four tertiary hospitals between January 2017 and December 2017. The timing of treatment was grouped into the treatment within 24 h and the treatment between 25 and 72 h. Baseline characteristics, periprocedural complications, angiographic results, and clinical outcomes were compared between the two groups.
A total of 101 patients were included. 49 (48.5 %) patients were treated within 24 h and 52 (51.5 %) within between 25 and 72 h. Periprocedural complications occurred in 2 (4.1 %) patients treated within 24 h compared with those in 10 (19.2 %) treated between 25−72 h (P = 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.
The LVIS stent-assisted coiling may be safe and effective in the treatment of selected patients with ruptured aneurysms within 24 h of symptom onset.</description><subject>Aneurysm</subject><subject>Aneurysms</subject><subject>Angiography</subject><subject>Blood clots</subject><subject>Clinical outcomes</subject><subject>Coiling</subject><subject>Complications</subject><subject>Endovascular coiling</subject><subject>Hemorrhage</subject><subject>Implants</subject><subject>Ischemia</subject><subject>Medical imaging</subject><subject>Neurology</subject><subject>Occlusion</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Ruptured intracranial aneurysm</subject><subject>Statistical analysis</subject><subject>Stent-assisted coiling</subject><subject>Stents</subject><issn>0303-8467</issn><issn>1872-6968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkUtuFDEQhi0EIkPgCpElNmx68Kvd3ayIIh6RRmJBYGt57LLGo34MtjtR77gDB-FOnIQaJmHBhpWl8ld__VU_IRecrTnj-vV-7fo4wpymtWDiWNScN4_IireNqHSn28dkxSSTVat0c0ae5bxnjEmp26fkTIpG1U3HVuTHzQ5otgHKQu3oKYQQnXULnQIt-LX5ev2Z5gJjoWFKf0olgS3DsYJMmg9lTuBpHEuyLtkx2h6V0NmSh0zvYtnFkQr16_vP3TSn_IZe0mHuS3SoAIkmKGnKB3Al3qKTMvvlOXkSbJ_hxf17Tr68f3dz9bHafPpwfXW5qZzsdKlsJxpvdQ1eOtk2HddbLmvLteN1Z70VrK1btmUhNAJqzQPjVoKSshW-hqDlOXl10j2k6dsMuZghZgd9j_anORuh8H4NqjBEX_6D7nGZEd0hpTpVK9kppPSJcrhSThDMIcXBpsVwZo6xmb15iM0cYzOn2LDx4l5-3g7g_7Y95ITA2xMAeI_bCMlkF2F04GPC0xk_xf_N-A0m_q7-</recordid><startdate>202010</startdate><enddate>202010</enddate><creator>Wang, Xianggan</creator><creator>Xing, Haixia</creator><creator>Cai, Jing</creator><creator>Jin, Dianshi</creator><creator>Chen, Yongchun</creator><creator>Cui, Yudi</creator><creator>Ding, Shenghao</creator><creator>Wan, Jieqing</creator><creator>Pan, Yaohua</creator><creator>Mao, Guohua</creator><creator>Zhao, Bing</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2341-1959</orcidid></search><sort><creationdate>202010</creationdate><title>The safety and efficacy of the LVIS stent for the treatment of ruptured intracranial aneurysms within 24 hours: A multicenter retrospective study</title><author>Wang, Xianggan ; 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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 24 h comparing to the treatment between 25 and 72 h of symptom onset.
We conducted a multicenter retrospective study on 110 consecutive patients with ruptured intracranial aneurysms. These patients were treated with LVIS stent within 72 h in four tertiary hospitals between January 2017 and December 2017. The timing of treatment was grouped into the treatment within 24 h and the treatment between 25 and 72 h. Baseline characteristics, periprocedural complications, angiographic results, and clinical outcomes were compared between the two groups.
A total of 101 patients were included. 49 (48.5 %) patients were treated within 24 h and 52 (51.5 %) within between 25 and 72 h. Periprocedural complications occurred in 2 (4.1 %) patients treated within 24 h compared with those in 10 (19.2 %) treated between 25−72 h (P = 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.
The LVIS stent-assisted coiling may be safe and effective in the treatment of selected patients with ruptured aneurysms within 24 h of symptom onset.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>32745790</pmid><doi>10.1016/j.clineuro.2020.106117</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-2341-1959</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | Clinical neurology and neurosurgery, 2020-10, Vol.197, p.106117-106117, Article 106117 |
| issn | 0303-8467 1872-6968 |
| language | eng |
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| source | Elsevier ScienceDirect Journals Complete; ProQuest Central UK/Ireland |
| subjects | Aneurysm Aneurysms Angiography Blood clots Clinical outcomes Coiling Complications Endovascular coiling Hemorrhage Implants Ischemia Medical imaging Neurology Occlusion Patients Prognosis Ruptured intracranial aneurysm Statistical analysis Stent-assisted coiling Stents |
| title | The safety and efficacy of the LVIS stent for the treatment of ruptured intracranial aneurysms within 24 hours: A multicenter retrospective study |
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