2022
DOI: 10.1227/neu.0000000000001876
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Coil Embolization of Unruptured Cerebral Aneurysms Using Stents in Small Arteries Less Than 2 mm in Diameter

Abstract: BACKGROUND: Data regarding the safety and effectiveness of stent placement in small vessels (<2 mm in diameter) for treating wide-necked cerebral aneurysms are limited. OBJECTIVE: To report our experience regarding coil embolization of unruptured cerebral aneurysms using stents (specifically the Neuroform Atlas) in small arteries <2 mm in diameter. METHODS: Patients with unruptured cerebral aneurysms treated with stent-assisted coil embolization between March 2017 and March 2021 in our hospital were included. … Show more

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Cited by 4 publications
(2 citation statements)
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“…In a recent study, Fiorella et al reported that in their 153 patients with wide-necked cerebral aneurysms, the rate of major stroke within the vascular territory of the low-profile visualized intraluminal support stent (LVIS; Microvention/Terumo, Tustin, CA) after 30 days was equal to the incidence of non-ipsilateral major stroke 12. The new open-cell laser-cut stent, Neuroform Atlas (Stryker Neurovascular, Fremont, CA) has been associated with a lower frequency of thromboembolic events,13 14 even when deployed in small vessels measuring <2 mm in diameter, compared with other stents 15. Kwon et al reported that in their 130 patients with unruptured wide-necked intracranial aneurysms treated with the Neuroform Atlas, only one (0.8%) case of delayed ischemia occurred during their patient follow-up (mean 12.4 months) 14.…”
Section: Discussionmentioning
confidence: 99%
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“…In a recent study, Fiorella et al reported that in their 153 patients with wide-necked cerebral aneurysms, the rate of major stroke within the vascular territory of the low-profile visualized intraluminal support stent (LVIS; Microvention/Terumo, Tustin, CA) after 30 days was equal to the incidence of non-ipsilateral major stroke 12. The new open-cell laser-cut stent, Neuroform Atlas (Stryker Neurovascular, Fremont, CA) has been associated with a lower frequency of thromboembolic events,13 14 even when deployed in small vessels measuring <2 mm in diameter, compared with other stents 15. Kwon et al reported that in their 130 patients with unruptured wide-necked intracranial aneurysms treated with the Neuroform Atlas, only one (0.8%) case of delayed ischemia occurred during their patient follow-up (mean 12.4 months) 14.…”
Section: Discussionmentioning
confidence: 99%
“… 12 The new open-cell laser-cut stent, Neuroform Atlas (Stryker Neurovascular, Fremont, CA) has been associated with a lower frequency of thromboembolic events, 13 14 even when deployed in small vessels measuring <2 mm in diameter, compared with other stents. 15 Kwon et al reported that in their 130 patients with unruptured wide-necked intracranial aneurysms treated with the Neuroform Atlas, only one (0.8%) case of delayed ischemia occurred during their patient follow-up (mean 12.4 months). 14 In the present study, the event rate of the non-RCT cohort after SACE was also low and there was no significant difference between the RCT cohort and the non-RCT cohort ( online supplemental table 2 ).…”
Section: Discussionmentioning
confidence: 99%