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Objective: To evaluate the safety and efficacy of stent-assisted coiling (SAC) using the Neuroform Atlas stent for aneurysms that recur after coil embolization.
Methods: We retrospectively reviewed patients who underwent SAC using the Neuroform Atlas stent to treat aneurysms that recurred after coil embolization from November 2020 to November 2021. Patient and aneurysm characteristics, procedural details, complications, and angiographic and clinical follow-up outcomes were recorded and analyzed.
Results: Eleven patients with 11 recurrent aneurysms were included for analysis. Atlas stent deployment was successful in all cases. Angiography immediately after the SAC procedure and at last follow-up showed complete occlusion in 10 patients (90.9%) and a residual neck in one (9.1%). Mean angiographic and clinical follow-ups were 9.2 and 10 months, respectively. A single procedure-related complication occurred, mildly blurred vision in the left eye, which recovered completely. No permanent morbidity or mortality occurred.
Conclusion: SAC using the Atlas stent to treat aneurysms that recur after coil embolization is safe and effective. Large-scale studies with long-term follow-up are warranted to confirm our results.
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http://dx.doi.org/10.3389/fneur.2022.967942 | DOI Listing |
J Neurol Surg B Skull Base
October 2025
Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Ritto, Shiga, Japan.
Objective: Eagle syndrome, categorized into classical styloid syndrome and stylocarotid syndrome, presents challenges in determining the optimal surgical approach for styloid process (SP) resection. While intraoral resection suffices for many cases, especially classical styloid syndrome cases, stylocarotid syndrome sometimes demands a transcervical resection due to its intricate spatial dynamics. We describe a step-by-step procedure for modified transcervical resection using a supra digastric muscle approach (SDMA) for SP, emphasizing anatomical precision.
View Article and Find Full Text PDFBrain Behav
September 2025
Department of Neurosurgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Background: Intracranial stenting with the Neuroform Atlas stent is an emerging treatment option for symptomatic intracranial atherosclerotic stenosis. Nevertheless, the efficacy and safety of the Neuroform Atlas stent as an option for intracranial stenting remain debatable.
Methods: This study enrolled clinical data from 264 consecutive patients diagnosed with symptomatic intracranial atherosclerotic stenosis treated with intracranial stenting with the Neuroform Atlas stent between January 2020 and February 2023 to assess the efficacy and safety of the procedure.
J Comp Eff Res
August 2025
MedTech Epidemiology & Real-World Data Science, Johnson & Johnson, New Brunswick, NJ 08933, USA.
Stent-assisted endovascular coiling is a safe and effective treatment for unruptured intracranial aneurysms (UIAs). This study compared 180-day inpatient readmission and cost among patients with UIA who underwent stent-assisted coiling (SAC) using the ENTERPRISE 2 or Neuroform Atlas stent. In this retrospective cohort study, adults with UIA undergoing SAC were identified in the Premier Healthcare Database (2016-2022) and grouped based on the stent used: ENTERPRISE 2 or Neuroform Atlas.
View Article and Find Full Text PDFJ Neuroendovasc Ther
July 2025
Department of Neurosurgery, Japanese Red Cross Fukushima Hospital, Fukushima, Fukushima, Japan.
Objective: Mirror image aneurysms located in the bilateral distal anterior cerebral arteries (ACAs) present significant technical challenges for both microsurgical and endovascular treatment due to their close proximity. To address these complexities, this technical note aims to describe a stepwise endovascular strategy for treating complex bilateral distal ACA kissing and mirror image aneurysms, highlighting key technical modifications such as preemptive bilateral stent deployment and selective microcatheter angiography.
Case Presentation: A woman in her 60s presented with bilateral distal ACA mirror image aneurysms (right: 10 mm; left: 7 mm).
J Cerebrovasc Endovasc Neurosurg
July 2025
Department of Neurosurgery, Pusan National University Hospital, Busan, Korea.
Objective: A ruptured blood blister-like aneurysm (BBA) of the supraclinoid internal carotid artery is a rare but surgically challenging vascular disease. Numerous endovascular approaches have been reported, but optimal management remains controversial. This study aimed to report on our experience and assess the safety and efficacy of our treatment strategy.
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