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Technical notes on deploying a LVIS stent – The importance of push and pull passively depending on the catheter torque
- Source :
- Interdisciplinary Neurosurgery, Vol 23, Iss, Pp 100942-(2021)
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Objective Low-profile visualized intraluminal support (LVIS®) is a braided stent utilized for stent-assisted coil embolization of intracranial aneurysms. In this report, we review the technical notes of coil embolization for unruptured intracranial aneurysm using LVIS® stents. Case description We reported six consecutive cases of unruptured saccular aneurysm of the internal carotid artery all of whom underwent stent-assisted coil embolization with the LVIS® stent. After the first three cases, dry lab training using a complicated parent artery model allowed us to determine how to effectively place an LVIS® stent and to shorten operative time significantly. All patients were followed up for at least 1 year after the procedure. Thus far, none of the patients have experienced recurrence or complications. Conclusions Our experience with patients undergoing stent-assisted coil embolization using LVIS® stents before and after dry lab training reveal that several simple technical tips, including careful measurement of the parent artery diameter, choice of an appropriate stent size, and evasion of pushing or pulling the stent beyond what is necessary, are important for easy and stable deployment of LVIS® stents.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
lcsh:Surgery
lcsh:RC346-429
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Aneurysm
medicine.artery
medicine
cardiovascular diseases
Incomplete stent deployment
lcsh:Neurology. Diseases of the nervous system
Dry lab training
Coil embolization
business.industry
Stent
lcsh:RD1-811
equipment and supplies
medicine.disease
Surgery
Low-profile visualized intraluminal support (LVIS)
Catheter
Dry lab
surgical procedures, operative
Push and pull
Operative time
Neurology (clinical)
Internal carotid artery
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 22147519
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Interdisciplinary Neurosurgery
- Accession number :
- edsair.doi.dedup.....62f7f79fc186a0be7c44c1ff39411b0b