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Safety and efficacy of the Neuroform Atlas for stent-assisted coiling of intracranial aneurysms: A multicenter experience
- Source :
- Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 68
- Publication Year :
- 2019
-
Abstract
- Objective Clinical data on the new Neuroform Atlas stent for treatment of intracranial aneurysms is limited. We report our experience in stent-assisted coiling procedures of complex, predominantly wide-necked aneurysms. Methods This is a retrospective study of consecutive patients treated with the Neuroform Atlas stent between August 2014 and November 2018 at three German tertiary care centers. We evaluated the complication rate, clinical outcome and angiographic result at mid-term follow-up. Results Thirty-seven aneurysms (elective: 23, previous subarachnoid hemorrhage: 14) were treated in 37 patients (mean age: 59.4 years, 62.2% females). Stent-assisted coiling was successful in all cases, achieving immediate complete aneurysm occlusion by coiling in 83.8% and neck remnants in 16.2%. At 6-month angiographic follow-up, complete aneurysm occlusion was obtained in 80.8% (21/26), neck remnants in 11.5% (3/26) and aneurysm remnants in 7.7% (2/26). Retreatment was necessary in 7.7%. Ischemic stroke occurred in one patient (2.7%). At 6-month clinical follow-up, procedure-related permanent morbidity was 2.7%. Conclusions Our results demonstrate that treatment of intracranial aneurysms with the Neuroform Atlas stent is associated with low morbidity and a high aneurysm occlusion rate at mid-term follow-up. Further studies will be necessary to confirm our results.
- Subjects :
- Adult
Male
medicine.medical_specialty
Subarachnoid hemorrhage
medicine.medical_treatment
Stent assisted coiling
Tertiary care
03 medical and health sciences
0302 clinical medicine
Aneurysm
Physiology (medical)
Occlusion
Medicine
Humans
cardiovascular diseases
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Endovascular Procedures
Stent
Mean age
Retrospective cohort study
Intracranial Aneurysm
General Medicine
Middle Aged
medicine.disease
Surgery
Treatment Outcome
Neurology
030220 oncology & carcinogenesis
Female
Stents
Neurology (clinical)
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15322653
- Volume :
- 68
- Database :
- OpenAIRE
- Journal :
- Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
- Accession number :
- edsair.doi.dedup.....63183eb340e3705855ffb68f5883af19