Treatment efficacy of Solitaire stent- and LVIS stent-assisted coil embolization for intracranial wide-neck carotid aneurysm

• Published in: Nan fang yi ke da xue xue bao = Journal of Southern Medical University 2020-03, Vol.40 (3), p.423
• Main Authors: Liu, Yuanlai, Sun, Yichun, He, Yongchao, Peng, Aiping, Yu, Zhihu, Lin, Qiyan, Zhang, Xiaofeng
• Format: Article
• Language: Chinese
• Subjects: Cerebral Angiography; Embolization, Therapeutic; Follow-Up Studies; Humans; Intracranial Aneurysm; Retrospective Studies; Stents; Treatment Outcome
• ISSN: 1673-4254
• DOI: 10.12122/j.issn.1673-4254.2020.03.23

To compare the safety, efficacy and complications of LVIS stent-assisted coil embolization and Solitaire stent-assisted coil embolization for management of intracranial wide-neck carotid aneurysms. We retrospectively analyzed the data of 86 patients with intracranial wide-neck carotid aneurysm treated in our hospital between June, 2016 and June, 2019. Forty-three of the patients received LVIS stent-assisted coil tamponade and the other 43 received Solitaire stentassisted coil tamponade. Arteriography was performed during, immediately after, and at 3 months after the surgery. The immediate embolization rate, surgical complications (vascular spasm, acute thrombus, coil escape, and bleeding), and the recurrence rate were compared between the two groups. In the LVIS stent group, 37 aneurysms were completely embolized, 5 were nearly fully embolized, and 1 was partially embolized, as compared with the numbers of 35, 6, and 2 in the Solitaire stent group, respectively. Surgery-related complications occurred in 5 pat