Stent-assisted coiling of cerebral aneurysms with the Neuroform Atlas stent
Stent-assisted coiling of cerebral aneurysms with the Neuroform Atlas stent
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DOI：
10.1177/1591019917753710
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发表时间：
2018-06-01
影响因子：
1.7
通讯作者：
Arat, Anil
中科院分区：
文献类型：
--
作者：
Cay, Ferdi;Peker, Ahmet;Arat, Anil
目的：Neuroform Atlas支架（AS）是具有开孔设计的最小颅内支架。本研究报告的第一个临床经验与AS。方法：所有颅内动脉瘤的支架辅助弹簧圈治疗使用一个单一的AS在一个单一的机构进行了回顾性评价。患者的人口统计学资料，动脉瘤的特点，载瘤动脉和支架分支之间的角度，技术的成功，临床和血管造影follow-up.Results：55个连续动脉瘤治疗AS辅助弹簧圈。其中，69.1%位于Willis环远端。技术成功率为100%。载瘤动脉近端和远端的平均直径分别为2.62 mm（范围1.5-4.4）和1.8 mm（范围0.8-3.5）。除1例患者在术后第4天完全停止抗血小板治疗发生轻微卒中外，未发生具有永久性后遗症的临床事件，平均随访时间为7.9个月时，94.1%的患者的Raymond-Roy评分为1或2分。载瘤动脉与支架分支之间的夹角虽然明显增大（p
Objectives: The Neuroform Atlas stent (AS) is the smallest intracranial stent with an open-cell design. This study reports the first clinical experience with AS.Methods: All intracranial aneurysms treated by stent-assisted coiling using a single AS in a single institution were retrospectively evaluated. Patient demographics, aneurysm characteristics, angles between the parent artery and stented branch, technical success, and clinical and angiographic follow-up were analyzed.Results: Fifty-five consecutive aneurysms treated with AS-assisted coiling were included. Of these, 69.1% were located distal to the circle of Willis. Technical success rate was 100%. The mean diameters of proximal and distal parent arteries were 2.62 mm (range 1.5-4.4) and 1.8 mm (range 0.8-3.5), respectively. Except for a minor stroke in a patient who completely discontinued antiplatelet therapy on postoperative day 4, there were no clinical events with permanent sequelae, and 94.1% of patients had Raymond-Roy score of 1 or 2 aneurysmal occlusion at a mean follow-up duration of 7.9 months. Although the angle between the parent artery and the stented branch increased significantly (p