Heo Kyu Sik, Ko Jung Ho
Department of Neurosurgery, Dankook University College of Medicine, Cheonan, Republic of Korea.
J Cerebrovasc Endovasc Neurosurg. 2024 Dec;26(4):373-382. doi: 10.7461/jcen.2024.E2024.04.006. Epub 2024 Oct 11.
The treatment outcomes of ruptured intracranial aneurysms using the Neuroform Atlas stent were evaluated.
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.
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).
The use of the Neuroform Atlas stent (NAS) for ruptured aneurysms might be safe and effective.
评估使用Neuroform Atlas支架治疗破裂颅内动脉瘤的疗效。
本研究为一项回顾性研究,纳入了在单一机构接受破裂动脉瘤血管内治疗的患者。2018年1月至2022年9月期间,191例破裂颅内动脉瘤患者接受了包括单纯弹簧圈栓塞或Neuroform Atlas支架辅助弹簧圈栓塞在内的血管内治疗。
单纯弹簧圈栓塞(SC)组有11例(8.7%)患者在术中发生破裂,略高于Neuroform Atlas支架辅助弹簧圈栓塞(NASAC)组的4例(6.3%)患者(p=0.241)。然而,NASAC组的血栓栓塞事件(TEE)略多,有4例(6.3%),而SC组有5例(3.9%)(p=0.235)。SC组的再次治疗率略高,有19例(26.4%)患者,而NASAC组有10例(22.2%)患者(p=0.342)。
使用Neuroform Atlas支架(NAS)治疗破裂动脉瘤可能是安全有效的。