Safety and efficacy of Neuroform Atlas stent-assisted embolization with spring coil in the treatment of acute ruptured wide-neck intracranial aneurysms
Objective To investigate the safety and effectiveness of Neuroform Atlas stent assisted embolization in the treatment of a-cute ruptured wide-neck intracranial aneurysms.Methods A total of 88 patients with acute intracranial ruptured wide-neck aneurysms were selected from Beijing Tiantan Hospital Affiliated to Capital Medical University and the People's Hospital of Ningxia Hui Autono-mous Region from January 2022 to January 2023.All patients were treated with Neuroform Atlas stent assisted embolization with spring coil.The operative results,perioperative complications and follow-up results of all patients were recorded.Results In 88 patients(88 ruptured aneurysms),a total of 92 Neuroform Atlas stents were implanted.Of the 88 ruptured aneurysms,69(78.4%)were Ray-mond grade I,18(20.5%)were Raymond grade Ⅱ,and 1(1.1%)was Raymond grade Ⅲ.Perioperative complications occurred in 10 patients(11.4%),including 9 ischemic complications and 1 hemorrhagic complications.61 patients received imaging follow-up,and 53 patients(86.9%)achieved Raymond grade I aneurysm occlusion,7 patients(11.5%)achieved Raymond grade Ⅱ aneurysm occlusion,and1 patient(1.6%)achieved Raymondgrade Ⅲ aneurysm occlusion.The83 patients were followed up clinically.75 pa-tients(90.4%)scored 0-2 on the modified Rankin scale,and 8 patients(9.6%)scored 3-5.Conclusion Neuroform Atlas stent-assis-ted coil embolization in the treatment of acute intracranial ruptured wide-neck aneurysms has a higher satisfaction rate and safety,and can obtain a good clinical prognosis.
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