Results of Y-stent-assisted-coiling with a low-profile Neuroform Atlas stent in complex bifurcation aneurysms

Authors : Bige SAYIN, Ergün DAĞLIOĞLU

Pages : 1366-1370

Doi:10.32322/jhsm.1139782

View : 23 | Download : 14

Publication Date : 2022-09-25

Article Type : Research Paper

Abstract :Aim: Neuroform Atlas is a low-profile stent with an open-cell structure that can be deployed via a low-profile microcatheter. This study analyzed the safety, durability, and efficiency of Y-stent-assisted coiling insert ignore into journalissuearticles values(Y-SAC); with two Neuroform Atlas stents for treating unruptured wide-neck complex bifurcation aneurysms. Material and method: We retrospectively reviewed patients who were treated for intracranial bifurcation aneurysms using the Y-SAC technique with two Neuroform Atlas stents. A total of 94 consecutive patients were included in the study. Clinical and angiographic results and complications were evaluated before and after the procedure. Results: Y-SAC was successfully performed insert ignore into journalissuearticles values(100%); without any technical complications in any case. The mean angiographic follow-up period was 14.6±6.6 months. Follow-up DSA was performed on 93.6% of patients. The last follow-up angiograms demonstrated complete occlusion insert ignore into journalissuearticles values(RROC I); in 92%, and near-complete occlusion insert ignore into journalissuearticles values(RROC II); in 7% of the aneurysms. There was no mortality in this study. A procedure-related complication occurred in 4.2% of patients and caused permanent morbidity in 1% of patients. Conclusion: In the endovascular treatment of wide-neck complex bifurcation aneurysms, the Y-SAC method with two Neuroform Atlas stents is safe and effective with high aneurysm occlusion rates and a low risk of procedural complications.
Keywords : Cerebral aneurysm, treatment, embolization