Intracranial Aneurysms
Conditions
Keywords
intracranial, saccular, aneurysms, stenting, coiling
Brief summary
The purpose of this study is to evaluate the safety and efficacy of the Low Profile Visualized Intraluminal Support(LVIS™ and LVIS™ Jr.)devices from MicroVention, Inc. when used to facilitate endovascular coiling of wide-necked intracranial aneurysms with coils.
Interventions
The LVIS Device is intended for use with embolization coils for the treatment of wide neck, intracranial aneurysms.
Sponsors
Study design
Intervention model description
Low Profile Visualized Intraluminal Support device
Eligibility
Inclusion criteria
* Subject age between 18 and 75 years * Subject with an unruptured or ruptured(\>30days since occurence), wide-necked (neck ≥4mm or dome to neck ratio \<2)intracranial saccular aneurysm (\<20mm maximum diameter in any plane)
Exclusion criteria
* Subject with significant extra or intracranial stenosis of the parent artery (\>50%) proximal to the target aneurysm. * Subject with any condition which in the opinion of the treating physician would place the subject at high risk of embolic stroke * Subject with contraindications to the use of antiplatelet agents * Subject who is unable to complete the required follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Effectiveness Composite Success Number of Participants With Primary Effectiveness Composite Success (100% Aneurysm Occlusion Without Clinically Significant In-stent Stenosis or Target Aneurysm Retreatment | 12 months |
| Primary Safety Composite Rate (Disabling Stroke With mRS Score Greater Than or Equal to 3, or Neurological Death Within 12 Months | 12 months |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Device: LVIS LVIS™ and LVIS™ Jr: The LVIS Device is intended for use with embolization coils for the treatment of wide neck, intracranial aneurysms. | 153 |
| Total | 153 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Death | 5 |
| Overall Study | Device Not Implanted | 1 |
| Overall Study | Lost to Follow-up | 5 |
| Overall Study | Withdrawal by Subject | 1 |
Baseline characteristics
| Characteristic | Device: LVIS |
|---|---|
| Age, Continuous | 58.3 Years STANDARD_DEVIATION 10.49 |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants |
| Race (NIH/OMB) Asian | 2 Participants |
| Race (NIH/OMB) Black or African American | 24 Participants |
| Race (NIH/OMB) More than one race | 2 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants |
| Race (NIH/OMB) White | 123 Participants |
| Sex: Female, Male Female | 110 Participants |
| Sex: Female, Male Male | 43 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 6 / 153 |
| other Total, other adverse events | 15 / 153 |
| serious Total, serious adverse events | 48 / 153 |
Outcome results
Primary Effectiveness Composite Success Number of Participants With Primary Effectiveness Composite Success (100% Aneurysm Occlusion Without Clinically Significant In-stent Stenosis or Target Aneurysm Retreatment
Time frame: 12 months
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Device: LVIS | Primary Effectiveness Composite Success Number of Participants With Primary Effectiveness Composite Success (100% Aneurysm Occlusion Without Clinically Significant In-stent Stenosis or Target Aneurysm Retreatment | 108 Participants |
Primary Safety Composite Rate (Disabling Stroke With mRS Score Greater Than or Equal to 3, or Neurological Death Within 12 Months
Time frame: 12 months
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Device: LVIS | Primary Safety Composite Rate (Disabling Stroke With mRS Score Greater Than or Equal to 3, or Neurological Death Within 12 Months | 9 Participants |