{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T14:06:34Z","timestamp":1777730794251,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T00:00:00Z","timestamp":1623974400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Stenting of vertebral artery dissecting aneurysms (VADAs) may promote mural apposition of intimal flaps, preserving the patency of injured vessels. Moreover, stent deployment may serve to alter intra-aneurysm flow, inducing saccular thrombus formation, neointimal development, and remodeling of injured vessels. Although an overlapping multistent strategy with coiling has proven successful in this setting, yielding good anatomic and clinical outcomes, coiling may be technically infeasible in some VADAs with unfavorably configured circumferential elevations. Herein, we describe three patients with VADAs for whom coiling was deemed technically problematic. Each underwent double stenting (LVIS within Enterprise), without coil insertion, using local anesthesia. Conventional angiographic follow-up regularly disclosed excellent saccular occlusion and subsequent remodeling of stented arteries. LVIS-within-Enterprise double stenting may be of particular benefit in patients with VADAs, the Enterprise providing outer support to minimize stent bulging (as a fusiform aneurysm) as the inner LVIS reinforces flow diversion.<\/jats:p>","DOI":"10.1177\/15910199211025109","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T04:39:00Z","timestamp":1623991140000},"page":"136-141","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["LVIS-within-enterprise double-stent procedure without coiling beneficial as treatment of unruptured vertebral artery dissecting aneurysms"],"prefix":"10.1177","volume":"28","author":[{"given":"Hyun Ho","family":"Choi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5293-2761","authenticated-orcid":false,"given":"Young Dae","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong Hyun","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun-Seung","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moon Hee","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery & Radiology, Veterans Health Service Medical Center, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,6,18]]},"reference":[{"key":"bibr1-15910199211025109","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2016.17.5.801"},{"key":"bibr2-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-014-1363-x"},{"key":"bibr3-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2007.138800"},{"key":"bibr4-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.109.568790"},{"key":"bibr5-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e318209ce03"},{"key":"bibr6-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000298913.24625.26"},{"key":"bibr7-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1186\/s12967-016-0959-9"},{"key":"bibr8-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1177\/1591019917748317"},{"key":"bibr9-15910199211025109","doi-asserted-by":"crossref","first-page":"e0180079","DOI":"10.1371\/journal.pone.0180079","volume":"12","author":"Wang CC","year":"2017","journal-title":"PLoS One"},{"key":"bibr10-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.06.029"},{"key":"bibr11-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1271681"},{"key":"bibr12-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2018-014439"},{"key":"bibr13-15910199211025109","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1561"},{"key":"bibr14-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.11.118"},{"key":"bibr15-15910199211025109","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2020-016294"}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199211025109","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15910199211025109","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15910199211025109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:59:36Z","timestamp":1777460376000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15910199211025109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,18]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1177\/15910199211025109"],"URL":"https:\/\/doi.org\/10.1177\/15910199211025109","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,18]]}}}