@article {Wang, author = {C.-C. Wang and W. Li and Z.-Z. Feng and B. Hong and Y. Xu and J.-M. Liu and Q.-H. Huang}, title = {Preliminary Experience with Stent-Assisted Coiling of Aneurysms Arising from Small (}, year = {2017}, doi = {10.3174/ajnr.A5145}, publisher = {American Journal of Neuroradiology}, abstract = {BACKGROUND AND PURPOSE: The Low-Profile Visualized Intraluminal Support (LVIS) stent is a new device recently introduced for the treatment of wide-neck intracranial aneurysms. This single-center study presents the authors{\textquoteright} preliminary experience using the LVIS stent to treat saccular aneurysms with parent arteries smaller than 2.5 mm.MATERIALS AND METHODS: Aneurysms with a LVIS stent used in a small parent vessel (\<2.5 mm in diameter) between October 2014 and April 2016 were included. Procedure-related complications, angiographic results, clinical outcomes, and midterm follow-up data were analyzed retrospectively.RESULTS: A total of 22 patients was studied, including 5 ruptured and 17 unruptured aneurysms. Most of the aneurysms were located in the anterior circulation (90.9\%). Stent placement in the parent arteries measuring 1.7{\textendash}2.4 mm in diameter (mean, 2.1 mm) was successful in 100\% of cases. Procedure-related complication developed in 1 patient (4.5\%) who presented with aneurysm rupture. No permanent morbidity and mortality occurred. Immediate angiographic outcome showed complete occlusion in 8 aneurysms (36.4\%), neck residual in 8 (36.4\%), and residual aneurysm in 6 (27.3\%). All patients underwent angiographic follow-up at a mean of 8.3 months, which revealed complete occlusion in 18 (81.8\%) patients, neck remnant in 3 (13.6\%), and residual sac in 1 (4.5\%). No recanalization of the target aneurysm was observed. There was 1 case with asymptomatic in-stent stenosis.CONCLUSIONS: Our preliminary results show that the deployment of LVIS stents in small vessels is feasible, safe, and effective in the midterm. Larger studies with long-term follow-up are needed to validate our promising results.AbbreviationLVISLow-Profile Visualized Intraluminal Support}, issn = {0195-6108}, URL = {https://www.ajnr.org/content/early/2017/04/06/ajnr.A5145}, eprint = {https://www.ajnr.org/content/early/2017/04/06/ajnr.A5145.full.pdf}, journal = {American Journal of Neuroradiology} }