Journals / Journal of Health Sciences and Medicine / 2022 / Cilt: 5 - Sayı: 5

Results of Y-stent-assisted-coiling with a low-profile Neuroform Atlas stent in complex bifurcation aneurysms

Pages
1366–1370
Publication Date
2022-09-25
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In the endovascular treatment of wide-neck complex bifurcation aneurysms, the Y-SAC method with two Neuroform Atlas stents is safe and effective with high aneurysm occlusion rates and a low risk of procedural complications.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Neuroform Atlas is a low-profile stent with an open-cell structure that can be deployed via a low-profile microcatheter.
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Key Findings & Data:A total of 94 consecutive patients were included in the study.
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Conclusion & Impact:Conclusion: In the endovascular treatment of wide-neck complex bifurcation aneurysms, the Y-SAC method with two Neuroform Atlas stents is safe and effective with high aneurysm occlusion rates and a low risk of procedural complications.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Cerebral aneurysm · treatment · embolization

Abstract

Aim: Neuroform Atlas is a low-profile stent with an open-cell structure that can be deployed via a low-profile microcatheter. This study analyzed the safety, durability, and efficiency of Y-stent-assisted coiling (Y-SAC) with two Neuroform Atlas stents for treating unruptured wide-neck complex bifurcation aneurysms. Material and method: We retrospectively reviewed patients who were treated for intracranial bifurcation aneurysms using the Y-SAC technique with two Neuroform Atlas stents. A total of 94 consecutive patients were included in the study. Clinical and angiographic results and complications were evaluated before and after the procedure. Results: Y-SAC was successfully performed (100%) without any technical complications in any case. The mean angiographic follow-up period was 14.6±6.6 months. Follow-up DSA was performed on 93.6% of patients. The last follow-up angiograms demonstrated complete occlusion (RROC I) in 92%, and near-complete occlusion (RROC II) in 7% of the aneurysms. There was no mortality in this study. A procedure-related complication occurred in 4.2% of patients and caused permanent morbidity in 1% of patients. Conclusion: In the endovascular treatment of wide-neck complex bifurcation aneurysms, the Y-SAC method with two Neuroform Atlas stents is safe and effective with high aneurysm occlusion rates and a low risk of procedural complications.

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Cite This Article

SAYIN, B., DAĞLIOĞLU, E. (2022). Results of Y-stent-assisted-coiling with a low-profile Neuroform Atlas stent in complex bifurcation aneurysms. Journal of Health Sciences and Medicine, Cilt: 5 - Sayı: 5, 1366–1370. https://ajindex.com/articles/776463

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References (14)

  1. Lopes DK, Johnson AK, Kellogg RG, Heiferman DM, Keigher KM. Long-term radiographic results of stent-assisted embolization of cerebral aneurysms. Neurosurgery 2014; 74: 286–91.
  2. Cohen JE, Melamed I, Itshayek E. X-microstenting and transmesh coiling in the management of wide-necked tent-like anterior communicating artery aneurysms. J Clin Neurosci 2014; 21: 664–7.
  3. Akmangit I, Aydın K, Sencer S, et al. Dual stenting using low-profile LEO baby stents for the endovascular management of challenging intracranial aneurysms. AJNR 2015; 36: 323–9.
  4. Chow MM, Woo HH, Masaryk TJ, Rasmussen PA. A novel endovascular treatment of a wide-necked basilar apex aneurysm by using a Y-configuration, double-stent technique. AJNR 2004; 25: 509–12.
  5. Aydin K, Balci S, Sencer S, Barburoglu M, Umutlu MR, Arat A. Y-stent-assisted coiling with low-profile Neuroform Atlas stents for endovascular treatment of wide-necked complex ıntracranial bifurcation aneurysms. Neurosurgery 2020; 87: 744–53.
  6. Akgul E, Aksungur E, Balli T, et al. Y-stent-assisted coil embolization of wide-neck intracranial aneurysms. a single-center experience. Interv Neuroradiol 2011; 17: 36–48
  7. Cagnazzo F, Limbucci N, Nappini S, et al. Y-stent-assisted coiling of wide-neck bifurcation intracranial aneurysms: a meta-analysis. AJNR 2019; 40: 122–8.
  8. Ciccio G, Robert T, Smajda S, et al. Double stent-assisted coiling of intracranial bifurcation aneurysms in Y and X configurations with the Neuroform Atlas stent: immediate and mid-term angiographic and clinical follow-up. J NeuroIntervent Surg 2019; 11: 1239–42.
  9. Kim D, Chung J. Y-stent-assisted coiling with Neuroform Atlas stents for wide-necked intracranial bifurcation aneurysms: A preliminary report. J Cerebrovasc Endovasc Neurosurg 2022; 24: 1–9.
  10. Raymond J, Roy D. Safety and efficacy of endovascular treatment of acutely ruptured aneurysms. Neurosurgery 1997; 41: 1235–46.
  11. Gory B, Spiotta AM, Mangiafico S, et al. Pulse rider stent-assisted coiling of wide-neck bifurcation aneurysms: periprocedural results in an international series. AJNR 2016; 37: 130–5.
  12. Spiotta AM, Derdeyn CP, Tateshima S, et al. Results of the ANSWER trial using the pulse rider for treating broad-necked, bifurcation aneurysms. Neurosurgery 2017; 81: 56–65.
  13. Chung J, Lim YC, Suh SH, et al. Stent-assisted coil embolization of ruptured wide-necked aneurysms in the acute period: incidence of and risk factors for periprocedural complications. J Neurosurg 2014; 121: 4–11.
  14. Russo R, Bradac GB, Castellan L, et al. Neuro