Evidence map›Paper›PMID 41756177›Full record

ArticleFrontiers in neurology

Neuroform Atlas stent-assisted coiling of wide-necked intracranial bifurcation aneurysms.

Cheng Zhang, Yang Zhang, Chunwei Li, Shengli Shen, Hongzhou Duan

Abstract read
In one paragraph

Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cheng ZhangDepartment of Neurosurgery, Peking University First Hospital, Beijing, China.
Yang ZhangDepartment of Neurosurgery, Peking University First Hospital, Beijing, China.
Chunwei LiDepartment of Neurosurgery, Peking University First Hospital, Beijing, China.
Shengli ShenDepartment of Neurosurgery, Peking University First Hospital, Beijing, China.
Hongzhou DuanDepartment of Neurosurgery, Peking University First Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the safety and efficacy of Neuroform Atlas stent-assisted coiling in the endovascular treatment of wide-necked intracranial bifurcation aneurysms. Methods: We retrospectively reviewed 76 patients with wide-necked intracranial bifurcation aneurysms who underwent Neuroform Atlas stent-assisted coiling at our institution between August 2021 and December 2024. Patient demographics, aneurysm characteristics, procedural details, and procedure-related complications were collected and analyzed. Angiographic and clinical outcomes were assessed both postoperatively and during follow-up. The modified Rankin Scale (mRS) was used to evaluate clinical outcomes, and Raymond-Roy occlusion classification (RROC) grades were used to determine the degree of aneurysm occlusion. Results: A total of 76 patients harboring 81 wide-necked intracranial bifurcation aneurysms were included in the study. Among them, 17 patients (22.4%) presented with subarachnoid hemorrhage (SAH) at admission. A total of 87 Neuroform Atlas stents were successfully deployed in all patients. Immediate post-procedural angiography demonstrated complete occlusion in 69 aneurysms (85.2%, Raymond-Roy class I) and residual neck in 12 aneurysms (14.8%, Raymond-Roy class II). Procedure-related complications occurred in 4 patients (5.3%), including intraprocedural aneurysm rupture in 2 patients (2.6%), coil migration in 1 patient (1.3%), and parent artery hemorrhage in 1 patient (1.3%). Clinical follow-up was available for 72 patients (94.7%) at 6-18 months (mean, 12 months). At the last follow-up, 68 patients (94.4%) had an mRS score of 0, 3 patients (4.2%) had a score of 2, and 1 patient (1.4%) had a score of 3. A favorable clinical outcome (mRS ≤ 2) was achieved in 71 patients (98.6%), whereas 1 patient (1.4%) had a poor outcome (mRS>2). Angiographic follow-up was performed in 68 patients (89.5%) with 73 treated aneurysms (90.1%) at 6-18 months (mean, 12 months) after embolization. Complete occlusion (Raymond-Roy class I) was observed in 69 aneurysms (94.5%), and residual neck (Raymond-Roy class II) was found in 4 aneurysms (5.5%). Conclusion: Neuroform Atlas stent-assisted coiling is a feasible and effective endovascular treatment strategy for wide-necked intracranial bifurcation aneurysms. This technique is associated with high aneurysm occlusion rates, favorable clinical outcomes, and low procedure-related morbidity.

Indexed as

endovascular treatmentintracranial bifurcation aneurysmsNeuroform Atlas stentstent-assisted coilingwide-necked

Identifiers

PMID41756177
PMCPMC12932210

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.