Objective To investigate the safety and efficacy of LVIS stent-assisted embolization in treating ruptured intracranial aneurysms. Methods A retrospective analysis was performed on the clinical data, embolization rate, and complications of 118 cases of ruptured intracranial aneurysm who were admitted to the Department of Cerebrovascular Intervention of Zhongshan People's Hospital from January 2016 to June 2019 and treated with LVIS stent-assisted embolization. Results All 118 ruptured intracranial aneurysms were successfully embolized. The embolization results immediately after operation were as follows:Raymond grade I embolization was achieved in 82 cases (69.5%), grade II embolization in 29 cases (24.6%), and grade III embolization in 7 cases (5.9%). The LVIS stent was fully open in 116 cases (98.3%) during the operation, and not fully open in 2 cases (1.7%). Six patients (5.1%) had cerebral thrombosis during the operation, of which 3 were timely treated with tirofiban and then the thrombosis disappeared, while the other 3 still had symptoms of cerebral thrombosis and cerebral infarction after medication. Postoperative thrombotic events occurred in 2 cases (1.7%), of which 1 case still had symptoms of neurological defects after active treatment. During the postoperative follow-up period of 6-12 months, aneurysm recurred in 6 patients (5.1%), in-stent stenosis occurred in 5 patients (4.2%), and no rebleeding occurred in any patient; 102 patients (86.4%) had good outcome (modified Rankin Scale:0-2) and 16 (13.6%) had poor outcome. Conclusions LVIS stent-assisted embolization is safe and feasible in treating ruptured intracranial aneurysms.