J Cerebrovasc Endovasc Neurosurg.  2024 Dec;26(4):373-382. 10.7461/jcen.2024.E2024.04.006.

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

• Heo KS
• Ko JH

• KMID: 2563086
• DOI: http://doi.org/10.7461/jcen.2024.E2024.04.006

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.

Keyword

Aneurysmal subarachnoid Hemorrhage; Endovascular aneurysm repair; Neuroform Atlas stent; Stent-assisted coil embolization

Figure

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  Fig. 1. Flow diagram of patient selection

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