Neuroform Atlas stent-assisted coiling of ruptured wide-necked anterior communicating artery aneurysms.
Hongping Wang, Shengli Hu, Jianyi Xu, Jian Pei, Yunhe Gao, Baogang Tian, Dayong Wang, Yu Zheng, Xiang Xu
Abstract
Open AccessOne of the most crucial methods for treating wide-neck anterior communicating artery aneurysms is endovascular therapy. However, because of the small arterial diameter and volume with hematoma, endovascular embolization procedures for the treatment of burst wide-necked ACoA aneurysms are difficult. Few studies have been conducted to evaluate the Neuroform Atlas stent's safety and effectiveness in treating wide-necked anterior communicating artery aneurysms, despite the fact that it has been frequently utilized to treat wide-necked aneurysms since its 2020 debut in China. Thus, this article's goal is to examine the effectiveness and safety of Neuroform Atlas stent-assisted coiling in the management of anterior communicating artery burst wide-necked aneurysms. From August 2020 to June 2022, Neuroform Atlas stents were used to treat 30 patients with aneurysms of the ruptured wide-necked anterior connecting arteries. Neuroform Atlas stents were successfully and satisfactorily positioned in each of the 30 patients. Three patients had postoperative complications. Twenty-nine patients (96.7%) achieved an mRS score of ≤2, demonstrating satisfactory clinical outcomes, while one patient (3.3%) had an mRS score of 3, indicating poor prognosis. This pilot research shows that coiling ruptured wide-necked aneurysms of the anterior communicating artery with the use of a Neuroform Atlas stent is safe and effective.