{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T05:25:46Z","timestamp":1790227546746,"version":"4.1.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81801806"],"award-info":[{"award-number":["81801806"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Medical Science and Technology Project for Health Commission of Henan Province","award":["KYDZ2020120441"],"award-info":[{"award-number":["KYDZ2020120441"]}]},{"name":"Henan Provincial and Ministerial Co-construction Youth Project of Medical Science and Technology Research Plan","award":["YXKC2022029"],"award-info":[{"award-number":["YXKC2022029"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aims to compare the efficacy and safety of using overlapping low-profile visualized intraluminal support (LVIS) devices and flow diversion (FD) for the treatment of unruptured vertebral artery dissection (VAD) in the V3\u2013V4 segments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The clinical and imaging data of 71 patients with unruptured VAD in the V3\u2013V4 segments who underwent either dual LVIS stenting (d-LVIS group) or single FD stenting (FD group) at our center from September 2014 to December 2021 were retrospectively analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Immediate postoperative angiography revealed no significant difference in the degree of occlusion between the two groups in treating vertebral artery dissecting aneurysms (with or without noncompact coiling). However, the d-LVIS group had significantly higher fluoroscopy exposure time and total radiation exposure dose compared to the FD group. During the perioperative period, two cases of pontine infarction and one case of acute thrombosis were encountered. One patient died from subarachnoid hemorrhage during the follow-up period. For dissecting the aneurysm, angiographic follow-up (8.56\u2009\u00b1\u20091.96 months) showed similar healing outcomes between the two groups (with or without noncompact coiling). However, seven patients (7\/40, 17.5%) showed poor healing and one patient showed mild in-stent stenosis. For simple dissection, angiographic follow-up (8.78\u2009\u00b1\u20091.83 months) showed patent lumens in both groups, with all dissections healing well, and two patients having mild in-stent stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both methods could effectively treat unruptured VAD in V3\u2013V4 segments. Nevertheless, simple FD implantation is relatively easier to perform and involves lower radiation exposure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199241254864","type":"journal-article","created":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T02:09:56Z","timestamp":1715825396000},"page":"1502-1509","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A clinical comparative study of dual LVIS devices and single flow diversion stenting for the treatment of unruptured V3\u2013V4 vertebral artery dissection"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9744-6206","authenticated-orcid":false,"given":"Shuhai","family":"Long","sequence":"first","affiliation":[{"name":"The First Affiliated Hospital of Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuailong","family":"Shi","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhike","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Life Science and Technology, Xi\u2019an Jiaotong University, Xian, China"},{"name":"Shenzhen Vivolight Medical Device &amp; Technology Co., Ltd, Shenzhen, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Tian","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuangzhuang","family":"Wei","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji","family":"Ma","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ye","family":"Wang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Yang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinwei","family":"Han","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1541-8405","authenticated-orcid":false,"given":"Tengfei","family":"Li","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200103223441206"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0317167100008556"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1591019918824413"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2021.12.057"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-020-02549-y"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.5797\/jnet.ra.2020-0150"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000431"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3171\/2022.4.JNS22609"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/15910199211025109"},{"key":"e_1_3_2_11_2","article-title":"Reconstructive endovascular treatment of vertebral artery dissecting aneurysms with the low-profile visualized intraluminal support (LVIS) device","volume":"12","author":"Wang CC","year":"2017","unstructured":"Wang CC, Fang YB, Zhang P, et al. Reconstructive endovascular treatment of vertebral artery dissecting aneurysms with the low-profile visualized intraluminal support (LVIS) device. PLoS One. 2017; 12: e0180079.","journal-title":"PLoS One."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.04.174"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2021.0275"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.04.167"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.3171\/2020.10.PEDS20324"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2018-014441"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.11.074"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.03.092"},{"key":"e_1_3_2_19_2","article-title":"Endovascular treatment of intracranial vertebral artery unruptured dissecting aneurysms: comparison of flow diversion and stent-assisted coiling or stenting alone","volume":"13","author":"Li L","year":"2022","unstructured":"Li L, Xu GQ, Gao HL, et al. Endovascular treatment of intracranial vertebral artery unruptured dissecting aneurysms: comparison of flow diversion and stent-assisted coiling or stenting alone. 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