Turkish Neurosurgery
Comparison of Stent-Assisted Coiling for Unruptured Internal Carotid Artery Aneurysms between LVIS or LVIS Jr. and Enterprise VRD: a Retrospective and Single-Center Analysis
Hirotaka Sato1, Koichi Haraguchi2
1Asahikawa Medical University, Neurosurgery, Asahikawa,
2Hakoadate Shintoshi hospital, Neurosurgery, Hakodate,
DOI: 10.5137/1019-5149.JTN.31089-20.2

Aim:Aim: Stent-assisted coiling is a useful technique to treat aneurysms with a wide neck or complex morphology. In this study, we compared the low-profile visualized intraluminal support (LVIS or LVIS Jr.) stent, which is a braided microstent, and Enterprise Vascular Reconstructive Device (VRD), which is fabricated using laser cutting technology, in the treatment of internal carotid artery aneurysms.Material and Methods:Material and Methods: We investigated 49 unruptured aneurysm cases in which follow-up digital subtraction angiography had been performed. Results of the occlusion were divided into classes 1, 2, and 3 of the Raymond-Roy Occlusion Classification. Statistical significance was defined as P < 0.05.Results:Results: In the 49 aneurysm cases, we achieved class 1 in 23 (47%; LVIS or LVIS Jr., 7; Enterprise, 16; P = 0.76), class 2 in 13 (27%; LVIS or LVIS Jr., 5; Enterprise, 8; P = 0.74), and class 3 in 13 (27%; LVIS or LVIS Jr., 5; Enterprise, 8; P = 0.74). Based on the follow-up imaging of the 49 aneurysms, we achieved class 1 in 32 cases (65%; LVIS or LVIS Jr., 16; Enterprise, 16; P < 0.01), class 2 in 7 (14%; LVIS or LVIS Jr., 0; Enterprise, 7; P < 0.01), and class 3 in 10 (20%; LVIS or LVIS Jr., 1; Enterprise, 9; P = 0.13).Conclusion:Conclusions: Recently, the flow diversion effect of stents has garnered more attention compared to coil embolization. LVIS or LVIS Jr. exerts a higher flow diversion effect than other stents and may improve the Raymond-Roy Occlusion Classification. In the future, the role of stents in the treatment of aneurysms will become more important.

Corresponding author : Hirotaka Sato