Open Access

Comparison of endovascular treatment for middle cerebral artery aneurysm with a low‑profile visualized intraluminal support stent or pipeline embolization device

  • Authors:
    • Peng Lu
    • Ye Zhang
    • Huanjiang Niu
    • Yirong Wang
  • View Affiliations

  • Published online on: July 16, 2019     https://doi.org/10.3892/etm.2019.7775
  • Pages: 2072-2078
  • Copyright: © Lu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The aim of the present study was to evaluate the safety and effectiveness of low‑profile visualized intraluminal support (LVIS) stent and the pipeline embolization device (PED) for middle cerebral artery (MCA) aneurysm treatment. Data of patients with MCA aneurysms who received endovascular treatment with LVIS stent or PED added to the hospital's database between August 2016 and March 2018 were retrospectively collected, and the clinical results and angiographic outcomes were evaluated. A total of 43 patients were included in the study, of whom 23 received LVIS stents and 20 received PED. The rate of complete occlusion was similar in the two groups at 6 months post‑treatment (90.9 vs. 88.9%; P=0.832). Peri‑operative complications were more frequent in the PED group; however, the LVIS group had more ischemic symptoms during the long‑term follow‑up. A larger aneurysm size (P=0.032) was associated with recanalization in the two groups. In conclusion, the LVIS stent and PED had acceptable rates of complete occlusion and aneurysm size was an independent predictor for recanalization. LVIS is more effective during the peri‑operative period, while PED appears to have higher long‑term safety.

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Copy and paste a formatted citation
APA
Lu, P., Zhang, Y., Niu, H., & Wang, Y. (2019). Comparison of endovascular treatment for middle cerebral artery aneurysm with a low‑profile visualized intraluminal support stent or pipeline embolization device. Experimental and Therapeutic Medicine, 18, 2072-2078. https://doi.org/10.3892/etm.2019.7775
MLA
Lu, P., Zhang, Y., Niu, H., Wang, Y."Comparison of endovascular treatment for middle cerebral artery aneurysm with a low‑profile visualized intraluminal support stent or pipeline embolization device". Experimental and Therapeutic Medicine 18.3 (2019): 2072-2078.
Chicago
Lu, P., Zhang, Y., Niu, H., Wang, Y."Comparison of endovascular treatment for middle cerebral artery aneurysm with a low‑profile visualized intraluminal support stent or pipeline embolization device". Experimental and Therapeutic Medicine 18, no. 3 (2019): 2072-2078. https://doi.org/10.3892/etm.2019.7775