title: Low-profile visible intraluminal support device: immediate outcome of the first three US cases.
abstract: BACKGROUND
  Dissecting and wide-necked aneurysms that incorporate a large portion of the parent artery can be challenging to treat with currently available devices. This study reports three cases treated with a new hybrid stent design that incorporates a smaller cell size and more pliable design than current generation stents and results in some flow diversion characteristics.
  
  
  METHODS
  In all three cases, use of the low-profile visible intraluminal support (LVIS) device in conjunction with coil embolization was determined to provide the best opportunity to achieve aneurysm occlusion while mitigating adverse events. The institutional review board reviewed all cases and approval was obtained. All cases were performed under emergent use exemption from the US Food and Drug Administration.
  
  
  RESULTS
  All three patients were successfully stent coiled with the LVIS device. One patient was completely occluded initially and remained so at follow-up, one patient progressed to complete occlusion at follow-up, and the last patient had stable incomplete occlusion of their fusiform aneurysm. There were no complications related to the procedures and the patients were maintained on dual-antiplatelet therapy.
  
  
  CONCLUSIONS
  The LVIS device offers promise as a stent-assisted coil device with certain characteristics that may be advantageous over currently available microstents.
authors.affiliation: Department of Neurosciences, Medical University of South Carolina, Mount Pleasant, South Carolina 29466, USA. turnerrd@musc.edu
authors.forename: Raymond D
authors.initials: RD
authors.lastname: Turner
authors.forename: Aquilla
authors.initials: A
authors.lastname: Turk
authors.forename: Imran
authors.initials: I
authors.lastname: Chaudry
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000601:surgery*; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents; D016896:Treatment Outcome; D014481:United States