Tang Qing-Wen, Feng Yu, Zhang Cheng-da, Zhang Ting-Bao, Zhao Wen-Yuan
Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Ann Med Surg (Lond). 2023 Jun 13;85(8):3783-3790. doi: 10.1097/MS9.0000000000000938. eCollection 2023 Aug.
Some studies have reported the efficacy and safety of the Atlas stent and the Leo Baby stent-assisted coiling (SAC) of intracranial aneurysms arising from small cerebral vessels. The authors aimed to compare the clinical performance of the Atlas and the Leo Baby stents in small parent arteries.
Between January 2019 and November 2022, 56 patients at our centre were treated using either Atlas or Leo Baby SAC of intracranial aneurysms arising from small parent vessels (<2 mm). The clinical and angiographic imaging data of the two cohorts were retrospectively collected and comparatively analyzed.
A total of 56 patients were included in this study. Thirty-two patients were treated with the Atlas SAC, and 24 patients were treated with the Leo Baby SAC. The mean age of the Atlas stent cohort was older, and the mean aneurysm size was smaller than the Leo Baby stent. The immediate complete occlusion rate was 68.6% in the Atlas stent cohort and 62.5% in the Leo Baby stent cohort. The mean angiographic follow-up time for Atlas stent cohort was 8.9±2.5 months, and the final aneurysm complete occlusion rate was 81.0%. The mean follow-up time for Leo Baby stent cohort was 18.9±6.0 months, and the final aneurysm complete occlusion rate was 83.3%.
At the final follow-up, the Atlas or the Leo baby stent SAC of intracranial aneurysms with small parent vessels resulted in favourable angiographic results and clinical outcomes, with a low rate of associated complications.
一些研究报告了阿特拉斯支架和利奥宝贝支架辅助弹簧圈栓塞术（SAC）治疗源自小脑血管的颅内动脉瘤的疗效和安全性。作者旨在比较阿特拉斯支架和利奥宝贝支架在小载瘤动脉中的临床性能。
2019年1月至2022年11月期间，我们中心的56例患者接受了阿特拉斯或利奥宝贝SAC治疗源自小载瘤血管（<2毫米）的颅内动脉瘤。回顾性收集并比较分析了两组的临床和血管造影成像数据。
本研究共纳入56例患者。32例患者接受了阿特拉斯SAC治疗，24例患者接受了利奥宝贝SAC治疗。阿特拉斯支架组的平均年龄较大，平均动脉瘤大小比利奥宝贝支架组小。阿特拉斯支架组的即刻完全闭塞率为68.6%，利奥宝贝支架组为62.5%。阿特拉斯支架组的平均血管造影随访时间为8.9±2.5个月，最终动脉瘤完全闭塞率为81.0%。利奥宝贝支架组的平均随访时间为18.9±6.0个月，最终动脉瘤完全闭塞率为83.3%。
在最终随访时，使用阿特拉斯或利奥宝贝支架对源自小载瘤血管的颅内动脉瘤进行SAC治疗可获得良好的血管造影结果和临床结局，相关并发症发生率较低。
