Efficacy of Neuroform Atlas stent-assisted coil embolization in ruptured anterior communicating wide-necked aneurysms
10.3760/cma.j.cn115354-20240316-00164
- VernacularTitle:Neuroform Atlas支架辅助弹簧圈栓塞术治疗破裂宽颈前交通动脉瘤的疗效分析
- Author:
Zongfei JIANG
1
;
Zhenrui LIU
;
Fengjia LI
;
Feng SI
;
Jun ZHU
;
Yong GAO
;
Xiangdong LU
;
Chunyu SONG
Author Information
1. 山东第一医科大学附属人民医院（济南市人民医院）神经外科，济南市人民医院济南市神经肿瘤分子生物学重点实验室，济南 271199
- Keywords:
Neuroform Atlas stent;
Anterior communicating artery aneurysm;
Rupture;
Wide-neck;
Embolization
- From:
Chinese Journal of Neuromedicine
2024;23(5):484-488
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy and safety of Neuroform Atlas stent-assisted coil embolization in ruptured anterior communicating wide-necked aneurysms.Methods:Thirty-two patients with ruptured anterior communicating wide-necked aneurysms accepted Neuroform Atlas stent assisted coil embolization in Department of Neurosurgery, People's Hospital Affiliated to Shandong First Medical University from January 2022 to June 2023 were chosen. DSA was performed immediately after surgery, and aneurysm embolization was assessed using Raymond grading. Prognoses were assessed by modified Rankin Scale (mRS, mRS scores≤2 as good prognosis and mRS scores>2 as poor prognosis) at last follow-up. DSA was performed again 6 months after surgery to assess the aneurysm healingResults:Neuroform Atlas stents were successfully implanted in all 32 patients; Postoperative DSA showed that aneurysm embolization reached Raymond grading I in all 32 patients(100%). No such complications as in-stent thrombosis, cerebral vasospasm, or poor opening of the stent were noted excepted for one with intraoperative aneurysm rupture hemorrhage. At the last follow-up, 31 patients had good prognosis and 1 had poor prognosis; in 22 patients underwent DSA re-examination, Raymond grading I was noted in 20 patients (90.91%) and grading II in 2 (9.09%).Conclusion:Neuroform Atlas stent-assisted coil embolization for ruptured anterior communicating wide-necked aneurysms seems safe and effective.
