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The angiographic and clinical follow-up outcomes of the wide-necked and complex intracranial aneurysms treated with LVIS EVO-assisted coiling

dc.contributor.coauthorPuthuran, Mani
dc.contributor.coauthorOnal, Yilmaz
dc.contributor.coauthorBarburoglu, Mehmet
dc.contributor.coauthorChandran, Arun
dc.contributor.coauthorBerdikhojayev, Mynzhylky
dc.contributor.coauthorGravino, Gilbert
dc.contributor.coauthorAygun, Serhat
dc.contributor.coauthorVelioglu, Murat
dc.contributor.coauthorSencer, Serra
dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorAydın, Kubilay
dc.contributor.kuauthorAygün, Murat Serhat
dc.contributor.kuauthorŞentürk, Yunus Emre
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2025-01-19T10:28:38Z
dc.date.issued2023
dc.description.abstractBACKGROUND:The Low Profile Visible Intraluminal Support EVO (LVIS EVO) is a self-expandable braided stent, which was recently introduced for the treatment of intracranial aneurysms. Full visibility of the stent and a relatively high metal coverage ratio are the unique features of the LVIS EVO.OBJECTIVE:To assess the safety, efficacy, and midterm durability of LVIS EVO stent-assisted coiling for the treatment of wide-necked intracranial aneurysms.METHODS:The endovascular databases were reviewed to identify patients treated with LVIS EVO-assisted coiling. The technical success and immediate clinical/angiographic outcomes were assessed. Periprocedural and delayed complications were evaluated. The follow-up angiographic/clinical outcomes were investigated. The preprocedural/follow-up neurological statuses were assessed with the modified Rankin Scale.RESULTS:One hundred three aneurysms in 103 patients (63 females) with a mean age of 54.9 11.3 years were included. The mean maximum sac diameter was 6.2 +/- 2.9 mm. The procedural technical success rate was 100%. Immediate postprocedural angiography showed complete occlusion in 77.7%. The mean duration of the angiographic follow-up was 8.8 +/- 3.6 months. Follow-up angiography showed complete aneurysm occlusion in 89% of the 82 patients with angiographic follow-up. Recanalization was observed in 7.3% of 82 patients. Two patients (2.4%) required retreatment. In addition, 8.7% of the patients had at least 1 complication, and 2.9% of the patients developed a permanent morbidity. All patients had mRS scores <= 2.CONCLUSION:The results of this study demonstrate that SAC with LVIS EVO is a relatively safe, efficient, and durable treatment for wide-necked and complex intracranial aneurysms.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue4
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipThis study did not receive any funding or financial support. Dr Onal and Dr Velioglu have NIH funding. Dr Velioglu works in a public hospital that belongs to the Ministry of Health.
dc.description.volume92
dc.identifier.doi10.1227/neu.0000000000002283
dc.identifier.eissn1524-4040
dc.identifier.issn0148-396X
dc.identifier.quartileQ1
dc.identifier.scopus2-s2.0-85150396534
dc.identifier.urihttps://doi.org/10.1227/neu.0000000000002283
dc.identifier.urihttps://hdl.handle.net/20.500.14288/25761
dc.identifier.wos1010552800029
dc.keywordsWide-necked
dc.keywordsAneurysms
dc.keywordsStent-assisted coiling
dc.keywordsLVIS EVO
dc.keywordsFollow-up
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.grantnoNIH
dc.relation.ispartofNeurosurgery
dc.subjectClinical neurology
dc.subjectSurgery
dc.titleThe angiographic and clinical follow-up outcomes of the wide-necked and complex intracranial aneurysms treated with LVIS EVO-assisted coiling
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorAydın, Kubilay
local.contributor.kuauthorŞentürk, Yunus Emre
local.contributor.kuauthorAygün, Murat Serhat
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
local.publication.orgunit2School of Medicine
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