Treatment characteristics, safety, and feasibility
Characteristics, Safety, and Feasibilitya | |||||||||
---|---|---|---|---|---|---|---|---|---|
Treatment parameter | |||||||||
Reason for choosing LVIS EVO | Wide neck(n = 56) (94.9%) | Flow diversion (n = 2) (3.4%) | Bailout (n = 1) (1.7%) | ||||||
Ease of deployment | Very poor (n = 0) (0%) | Poor (n = 0) (0%) | Intermediate (n = 0) (0%) | Good (n = 4) (6.8%) | Very good (n = 55) (93.2%) | ||||
Radiopacity | Very poor (n = 0) (0%) | Poor (n = 0) (0%) | Intermediate(n = 1) (1.7%) | Good (n = 28) (47.5%) | Very good (n = 30) (50.8%) | ||||
Treatment technique | Jailing technique (n = 52) (88.1%) | WEB and stent (n = 3) (5.1%) | Stent only (n = 2) (3.4%) | Coiling passing through stent (n = 2) (3.4%) | |||||
Safety | |||||||||
Technical complications | Thrombus formation (n = 3) (5.1%) | Stent shortening (n = 1) (1.7%) | Incomplete stent opening (n = 1) (1.7%) | Coil protrusion (n = 1) (1.7%) | Unrelated to LVIS EVO (n = 1) (1.7%) | ||||
Clinical complicationsb | TIA (n = 2) (3.4%) | Major strokec(n = 1) (1.7%) | Minor stroked(n = 1) (1.7%) | GIT bleeding (n = 1) (1.7%) | Leg ischemia (n = 1) (1.7%) | Puncture side bleeding(n = 1)(1.7%) | |||
Feasibility | |||||||||
Occlusion immediately after treatmente | I: Complete occlusion (n = 32) (54.2%) | II: Residual neck (n = 6) (10.2%) | IIIa: Residual neck with contrast within coil interstices (n = 18) (30.5%) | IIIb: Residual neck with contrast along aneurysm wall(n = 3) (5.1%) |
Note:—GIT indicates gastrointestinal tract.
↵a Data are mean [SD], (minimum to maximum), or absolute number of cases (relative frequency in %).
↵b Two patients had 2 clinical complications, respectively.
↵c Not related to the intervention (most likely caused by vasospasm).
↵d Related to the intervention (stroke in vascular territory of stented artery).
↵e Reported according to the modified Raymond-Roy classification.