Evidence map›Paper›PMID 29765397›Full record

ArticleInterventional neurology2018

LVIS Jr Device for Y-Stent-Assisted Coil Embolization of Wide-Neck Intracranial Aneurysms: A Multicenter Experience.

Edgar A Samaniego, Aldo A Mendez, Thanh N Nguyen, Vladimir Kalousek, Waldo R Guerrero, Sudeepta Dandapat, Guilherme Dabus, Italo Linfante, Ameer E Hassan, Alexander Drofa and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Interventional neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Patient outcomes after treatment of brain aneurysm in small diameter vessels with the silk vista baby flow diverter: A systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Y-stent-assisted coiling with pEGASUS stents for intracranial bifurcation aneurysms: A multi-center retrospective study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  7. The "CUPCAKE" technique (coiled underlying pseudoaneurysm contained by a woven endobridge device) for treating intracranial aneurysms with atypical morphology.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  8. Article
  9. Article
  10. Long term safety and effectiveness of LVIS Jr for treatment of intracranial aneurysms- a Canadian Multicenter registry.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  11. Woven Endobridge (WEB) augmented by Y-stent in a shallow basilar tip aneurysm.Journal of cerebrovascular and endovascular neurosurgery · 2022
    Article
  12. Review
  13. Article
  14. Endovascular Treatment of Intracranial Aneurysms.Life (Basel, Switzerland) · 2021
    Review
  15. Article
  16. Article
  17. Cerebral aneurysms treated with low-profile visualized intraluminal support device (LVIS Jr) Y-stent constructs: Technical experience with a single microcatheter technique.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 2 countries.

Edgar A SamaniegoDepartment of Neurology, Neurosurgery and Radiology, University of Iowa, Iowa, Iowa, USA.
Aldo A MendezDepartment of Neurology, Neurosurgery and Radiology, University of Iowa, Iowa, Iowa, USA.
Thanh N NguyenDepartment of Neurology, Neurosurgery and Radiology, Boston Medical Center, Boston, Massachusetts, USA.
Vladimir KalousekDepartment of Radiology, Clinical Hospital Center "Sestre Milosrdnice,", Zagreb, Croatia.
Waldo R GuerreroDepartment of Neurology, Neurosurgery and Radiology, University of Iowa, Iowa, Iowa, USA.
Sudeepta DandapatDepartment of Neurology, Neurosurgery and Radiology, University of Iowa, Iowa, Iowa, USA.
Guilherme DabusMiami Cardiac and Vascular Institute and Baptist Neuroscience Center, Miami, Florida, USA.
Italo LinfanteMiami Cardiac and Vascular Institute and Baptist Neuroscience Center, Miami, Florida, USA.
Ameer E HassanValley Baptist Medical Center, Harlingen, Texas, USA.
Alexander DrofaDepartment of Neurosurgery, Sanford Brain & Spine Center, Fargo, North Dakota, USA.
Evgueni KouznetsovDepartment of Neurosurgery, Sanford Brain & Spine Center, Fargo, North Dakota, USA.
David LeedahlPharmacy Services, Sanford Medical Center, Fargo, North Dakota, USA.
David HasanDepartment of Neurosurgery, University of Iowa, Iowa, Iowa, USA.
Alberto MaudDepartment of Neurology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, Texas, USA.
Santiago Ortega-GutierrezDepartment of Neurology, Neurosurgery and Radiology, University of Iowa, Iowa, Iowa, USA.
University of Iowa · USBoston Medical Center · USSanford Medical Center · USSisters of Charity Hospital · HRTexas Tech University Health Sciences Center · USValley Baptist Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeComplex wide-neck intracranial aneurysms are challenging to treat. We report a multicenter experience using the LVIS Jr stent for "Y-stent"-assisted coiling embolization of wide-neck bifurcation aneurysms.

methodsSeven centers provided retrospective data on patients who underwent Y-stenting. Technical complications, immediate posttreatment angiographic results, clinical outcomes, and imaging follow-up were assessed.

resultsThirty patients/aneurysms were treated: 15 basilar tip, 8 middle cerebral artery, 4 anterior communicating artery, 1 pericallosal, and 2 posterior inferior cerebellar artery aneurysms. The mean aneurysm size was 11 mm and the mean dome-to-neck ratio was 1.3 mm. Twenty-four aneurysms were unruptured and treated electively, and 6 were acutely ruptured. Fifty-eight LVIS Jr stents were successfully deployed without any technical issue. One pro-cedural and transient in-stent thrombosis resolved with the intravenous infusion of a glycoprotein IIb/IIIa inhibitor. Five periprocedural complications (within 30 days) occurred: 2 periprocedural neurological complications (1 small temporal stroke that presented with transient aphasia and 1 posterior cerebral artery infarct) and 3 nonneurological periprocedural complications (2 retroperitoneal hematomas, and 1 patient developed a disseminated intravascular coagulopathy). One permanent complication (3.3%) directly related to Y-stenting was reported in the patient who suffered the posterior cerebral artery infarct. Immediate complete obliteration (Raymond-Roy Occlusion Classification [RROC] I-II) was achieved in 26 cases (89.6%). Twenty-four patients had clinical and imaging follow-up (mean 5.2 months). Complete angiographic occlusion (RROC I-II) was observed in 23 patients (96%). A good functional outcome with a modified Rankin Scale score ≤2 was achieved in 26 cases.

conclusionsIn this multicenter case series, Y-stent-assisted coiling of wide-neck aneurysms with the LVIS Jr device was feasible and relatively safe. Follow-up imaging demonstrated very low recanalization rates.

Indexed as

AneurysmStent-assisted coilingStentingY-stent

Identifiers

PMID29765397
PMCPMC5939862
OpenAlexW2795725612

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.