LVISステントを用いたステント支援下脳動脈瘤コイル塞栓術 ─Braded stentの特徴と注意点─

  • 矢木 亮吉
    大阪医科大学 脳神経外科・脳血管内治療科
  • 宮地 茂
    愛知医科大学 脳神経外科・脳血管内治療センター
  • 平松 亮
    大阪医科大学 脳神経外科・脳血管内治療科
  • 大西 宏之
    大阪医科大学 脳神経外科・脳血管内治療科 大西脳神経外科病院
  • 松原 功明
    大阪医科大学 脳神経外科・脳血管内治療科
  • 藤城 高広
    大阪医科大学 脳神経外科・脳血管内治療科
  • 辻 優一郎
    大阪医科大学 脳神経外科・脳血管内治療科
  • 川端 信司
    大阪医科大学 脳神経外科・脳血管内治療科
  • 黒岩 敏彦
    大阪医科大学 脳神経外科・脳血管内治療科

書誌事項

タイトル別名
  • Stent-assisted Coil Embolization Using a Low-profile Visualized Intraluminal Support Device: Characteristics and Outcomes of the Braided Stent

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抄録

<p>The low-profile visualized intraluminal support device (LVIS) is a braided stent for stent assist coil embolization for intracranial aneurysms. The LVIS stent has a small stent cell design with higher neck coverage than Enterprise VRD/2 and Neuroform EZ/Atlas. The LVIS stent is applied for parent arteries with diameters ranging from 2.0 to 3.0 mm. In particular, LVIS Jr. enables embolization for distal artery aneurysms with a small parent artery. In this report, the authors reviewed cases of intracranial aneurysm coil embolization using a LVIS stent.</p><p>Between September 2015 and September 2016, stent assist embolization with a LVIS stent was performed for 15 patients. LVIS and LVIS Jr. were used in 4 and 11 cases, respectively. In the postprocedural result, complete occlusion was obtained in 12 (80%) of 15 cases and neck remnant was obtained in 3 (20%) of 15 cases.</p><p>Clinical complications with neurological deficit were observed in 2 (13%) of 15 cases, including instent occlusion and postoperative subarachnoid hemorrhage. The LVIS stent provided proper coverage of the aneurysmal neck for coiling. Procedural complications without sequelae were observed in 2 (13%) of 15 cases, including stent migration, stuck microcatheter, and flared stent.</p><p>LVIS and LVIS Jr. were useful for the stent assist aneurysm embolization; however, appropriate case selection and technical management based on stent characteristics are mandatory.</p>

収録刊行物

  • 脳卒中の外科

    脳卒中の外科 47 (3), 179-184, 2019

    一般社団法人 日本脳卒中の外科学会

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