Safety and effectiveness of Neuroform Atlas stent-assisted coil embolization for ruptured intracranial aneurysms.

Kyu Sik Heo, Jung Ho Ko
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Abstract

Objective: The treatment outcomes of ruptured intracranial aneurysms using the Neuroform Atlas stent were evaluated.

Methods: This study represents a retrospective review that included patients who underwent endovascular treatment for ruptured aneurysms at a single institution. Between January 2018 and September 2022, endovascular treatments including simple coiling or Neuroform Atlas stent-assisted coil embolization were performed in 191 patients with ruptured intracranial aneurysms.

Results: Intraprocedural rupture was observed in 11 (8.7%) patients in the Simple Coiling (SC) group, which was slightly higher than that in 4 (6.3%) patients in the Neuroform Atlas stent-assisted coiling (NASAC) group (p=0.241). However, Thromboembolic event (TEE) was slightly more prevalent in the NASAC group, with 4 (6.3%) cases as compared to the 5 (3.9%) cases in the SC group (p=0.235). The retreatment rate was slightly higher in the SC group, with 19 (26.4%) patients as compared to the 10 patients (22.2%) in the NASAC group (p=0.342).

Conclusions: The use of the Neuroform Atlas stent (NAS) for ruptured aneurysms might be safe and effective.

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Neuroform Atlas 支架辅助线圈栓塞治疗颅内动脉瘤破裂的安全性和有效性。
目的:评估使用 Neuroform Atlas 支架治疗颅内动脉瘤破裂的疗效:评估使用 Neuroform Atlas 支架治疗颅内动脉瘤破裂的疗效:本研究是一项回顾性研究,纳入了在一家机构接受血管内治疗的动脉瘤破裂患者。2018年1月至2022年9月期间,对191例颅内动脉瘤破裂患者进行了血管内治疗,包括简单的卷曲或Neuroform Atlas支架辅助的线圈栓塞:简单卷曲(SC)组有11例(8.7%)患者出现序贯内破裂,略高于Neuroform Atlas支架辅助卷曲(NASAC)组的4例(6.3%)(P=0.241)。然而,血栓栓塞事件(TEE)在 NASAC 组中发生率略高,为 4 例(6.3%),而在 SC 组中为 5 例(3.9%)(P=0.235)。SC组的再治疗率略高,为19例(26.4%),而NASAC组为10例(22.2%)(P=0.342):结论:使用 Neuroform Atlas 支架(NAS)治疗破裂动脉瘤可能是安全有效的。
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期刊最新文献
"Picket fence" an alternative clipping technique for wide necked and large aneurysms: technical nuances in a case series. The natural history of cerebral infundibula: A retrospective cohort study. Safety and effectiveness of Neuroform Atlas stent-assisted coil embolization for ruptured intracranial aneurysms. Multiple AVM with separate nidi, a case report and review the literatures. Radial artery access with a sheathless 0.087" inner diameter balloon guide catheter (Walrus) for neurointerventional procedures: Technique and clinical outcomes.
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