LAUSR

Abstract Background Wide-based neck bifurcation aneurysms can be treated with stent-assisted coiling using 2 stents making Y-shape to protect both branches. Endovascular progression resulted in safe and efficacy management of these procedures. In this study we evaluate the clinical outcomes and feasibility of Y-stenting using Lvis Jr stents for treatment of cerebral wide-neck bifurcation aneurysms. Methods In this study patients in whom Y-stenting was attempted using LVIS Jr were entered. Clinical outcomes, interventional success rate, and morbidity were assessed. Results Y-stenting with coiling was attempted for 23 patients. Mean age was 60±8.2 years and 14 patients were male. 13 patients (56%) were presented with SAH. 12 patients with A.com aneurysms , 7 with basilar tip artery and 4 with MCA aneurysms were included. Coiling was performed by microcatheter passing through both stents without jailing. All procedures were successful. In one procedure, both stents were closed by thrombosis, that is completely resolved by 24 hours of IV Integrilin and doubling Plavix doses. Patient did not experience any deficit. All 23 patients had good outcomes. MRS score was 0 in 20 patients and mRS score 1 in 3 patients in 12 months follow-up. Conclusions Y-stenting by LVIS Jr stents and coiling for wide-based neck aneurysms seems to be feasible and safe with low rates of complications. It can use in ruptured aneurysms with safety.