Objective To explore the clinical application value of Neuroform Atlas single stent in assisted embolization of basilar artery apex wide-necked aneurysms.Methods The clinical and imaging data of patients with basilar artery a-pex wide-necked aneurysms who were admitted to two hospitals from January 2022 to June 2023 and underwent Neuroform Atlas single stent-assisted coil embolization were retrospectively analyzed.The Raymond-Roy grading scale was used to e-valuate the immediate occlusion of the aneurysm after surgery,and the incidence of perioperative complications was ob-served.The Hunt-Hess grading and modified Rankin scale(mRS)were used to evaluate the neuropsychiatric status of the patients before and after treatment and during follow-up,and the short-term occlusion effect of the aneurysm was evaluated based on the DSA follow-up results 3 to 6 months after surgery.The occurrence of adverse events such as new ischemic stroke or aneurysm rupture and bleeding during the follow-up period was observed and recorded.Results A total of 21 patients were included in this study,of which 15 had ruptured aneurysms(preoperative Hunt-Hess grade Ⅰ in 10 cases,grade Ⅱ in 3 cases,grade Ⅲ in 1 case,and grade Ⅳ in 1 case),and 6 had unruptured aneurysms.All patients under-went embolization with the assistance of a single Neuroform Atlas stent,with a technical success rate of 100％.Immediate postoperative angiography showed complete embolization of the aneurysm(Raymond-Roy grade Ⅰ)in 20 cases and residual aneurysm neck(grade Ⅱ)in 1 case.No complications related to the interventional procedure were observed during and a-round the operation.Before discharge,the mRS scores were 0-1 in 16 cases,2 in 3 cases,and 3 in 2 cases.All patients were followed up clinically after surgery(follow-up time 3-14 months).At the last follow-up,all patients had no new neurological symptoms.The mRS score was 0-1 in 19 cases,2 in 1 case,and 3 in 1 case.DS A angiography was per-formed in 12 cases 3-6 months after surgery,and the aneurysms were completely occluded(Raymond-Roy grade Ⅰ)without stenosis of the parent artery or in-stent occlusion.Conclusion Neuroform Atlas single-stent assisted coil emboli-zation for the treatment of basilar artery apex wide-necked aneurysms has a definite effect,high safety,and high clinical ap-plication value.
NETL
NSTL
万方数据
