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首页> 外文期刊>British journal of neurosurgery >Initial multicentre experience using the neuroform atlas stent for the treatment of un-ruptured saccular cerebral aneurysms
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Initial multicentre experience using the neuroform atlas stent for the treatment of un-ruptured saccular cerebral aneurysms

机译：使用神经造型阿特拉斯支架用于治疗未破裂的椎弓母动脉瘤的初始多期体验

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Purpose: The Neuroform Atlas is a self-expandable and low-profiled stent that is used for aneurysm neck scaffolding and has been recently approved for clinical practice in Korea. We present our initial experiences of endovascular coiling using the Neuroform Atlas stent. Materials and methods: All cerebral aneurysms treated by stent-assisted coiling with a Neuroform atlas stent in two institutions between February and May 2018 were retrospectively evaluated. Fifty-one patients with 55 un-ruptured saccular cerebral aneurysms (mean size: 4.72 +/- 1.81 mm, mean neck diameter: 3.82 +/- 1.23 mm, mean dome-to-neck ratio: 1.21) were included in our study (40 females, mean age: 59.29 +/- 11.96 years). Patient demographics, aneurysm characteristics, initial angiographic post procedural outcomes, and clinical and angiographic follow-up data were analysed. Results: There was one case of procedural failure due to a downward slip during stent deployment. The technical success rate was 98.2% (54/55). A post-procedure control angiogram showed complete occlusion in 27 (50%), residual neck in 16 (29.6%) and residual sac in 11 (20.4%) aneurysms. There were no procedure-related complications. In one case, a symptomatic thromboembolism with left hand grip weakness (grade IV) was observed two days after the procedure and resolved at discharge. The modified Rankin scale score at discharge was 0 in all patients. Angiographic follow-up data at a mean of 4.8 months were available for 51/54 (94.4%) aneurysms. Among them, 27 aneurysms (52.9%) were stable, 20 aneurysms (39.2%) showed progressive occlusion and 4 aneurysms showed an increased modified Raymond Roy occlusion classification score (only one of these patients was included in the recanalization criteria). Conclusion: Our findings suggest the Neuroform Atlas stent can be useful for the coiling of cerebral aneurysms without significant complications regardless of aneurysm location.
机译：目的：神经造型素材阿特拉斯是一种可自扩张，低型支架，用于动脉瘤颈部脚手架，最近批准韩国临床实践。我们介绍了使用神经形式地图集支架的血管内卷绕的初步经验。材料和方法：回顾性评估了两次和2018年5月间两国机构的神经造型卷曲治疗的所有脑动脉瘤。五十一名患有55例未破裂的椎弓束动脉瘤（平均尺寸：4.72 +/- 1.81 mm，平均颈部直径：3.82 +/- 1.23 mm，平均圆顶至颈比：1.21）被纳入其中（ 40名女性，意思是年龄：59.29 +/- 11.96岁）。分析了患者人口统计学，动脉瘤特征，初始血管造影后的程序结果和临床和血管造影后续数据。结果：在支架部署期间，由于下滑滑动，有一种程序失败。技术成功率为98.2％（54/55）。过程后控制血管造影显示在11（29.6％）和11（20.4％）动脉瘤中的16（29.6％）和残留囊中的27（50％），残留颈部完全闭塞。没有与程序相关的并发症。在一个情况下，在手术后两天观察到左手握弱（IV级）的症状血栓栓塞，并在排出时解决。在所有患者中，放电的改进的Rankin比分分数为0。 51/54（94.4％）动脉瘤的血管造影后续数据可用4.8个月。其中，27个动脉瘤（52.9％）稳定，20个动脉瘤（39.2％）显示渐进式闭塞，4个动脉瘤显示出增加的修饰雷蒙罗伊闭塞分类分数（只有其中一个患者包含在重新化标准中）。结论：我们的研究结果表明，无论动脉瘤位置如何，神经造型阿特拉斯支架都可用于脑动脉瘤的卷曲而无明显的并发症。

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