PT - JOURNAL ARTICLE AU - Daniel Behme AU - Anushe Weber AU - Annika Kowoll AU - Ansgar Berlis AU - Thomas H Burke AU - Werner Weber TI - Low-profile Visualized Intraluminal Support device (LVIS Jr) as a novel tool in the treatment of wide-necked intracranial aneurysms: initial experience in 32 cases AID - 10.1136/neurintsurg-2014-011157 DP - 2015 Apr 01 TA - Journal of NeuroInterventional Surgery PG - 281--285 VI - 7 IP - 4 4099 - http://jnis.bmj.com/content/7/4/281.short 4100 - http://jnis.bmj.com/content/7/4/281.full SO - J NeuroIntervent Surg2015 Apr 01; 7 AB - Background and purpose The focus of this study was to determine ease of deployment, safety and effectiveness of the LVIS Jr device. Methods A retrospective analysis was performed of 32 cases comprising 34 aneurysms in which the LVIS Jr device was used for stent-assisted coil embolization of intracranial aneurysms from February to October 2012, including all clinical and angiographic data as well as mid-term follow-up (1–12 months of treatment). Results The median age of the patients was 54 years (range 21–76) and 19 (59%) were women. The aneurysms were ruptured in 12/34 cases (35.3%); 26 (76.4%) were located within the anterior circulation and the remaining 8 (23.5%) were located in the posterior circulation. Eleven of the 34 aneurysms (32.3%) were treated with a Y-stent configuration. Immediate total occlusion was observed in 16/34 (47%), near total occlusion (90–95%) in 5/34 (14.7%) and a ‘dog ear’ or subtotal occlusion in 12/34 (35.2%). A single aneurysm was treated without coil embolization. Complications occurred in 5/34 cases (15%), including two cases of in-stent thrombosis. Conclusions Implantation of the LVIS Jr device as a support device for stent-assisted coil embolization seems to be safe and effective. The LVIS Jr device can also be implanted in a Y-stent configuration, offering a novel technique with a potentially lower risk of thromboembolic complications compared with other devices.