Lukas Goertz1, Franziska Dorn2, Eberhard Siebert3, Moriz Herzberg4, Jan Borggrefe5, Marc Schlamann6, Boris Krischek7, Pantelis Stavrinou8, Anastasios Mpotsaris9, Georg Bohner10, Thomas Liebig11, Christoph Kabbasch12. 1. Department of Neuroradiology, University Hospital of Cologne, Kerpener Strasse 62, 50937 Cologne, Germany; University of Cologne, Center for Neurosurgery, Kerpener Strasse 62, 50937 Cologne, Germany. Electronic address: lukas.goertz@uk-koeln.de. 2. Department of Neuroradiology, University Hospital Munich (LMU), Marchioninistrasse 15, 81377 Munich, Germany. Electronic address: franziska.dorn@med.uni-muenchen.de. 3. Institute of Neuroradiology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. Electronic address: eberhard.siebert@charite.de. 4. Department of Neuroradiology, University Hospital Munich (LMU), Marchioninistrasse 15, 81377 Munich, Germany. Electronic address: moriz.herzberg@med.uni-muenchen.de. 5. Department of Neuroradiology, University Hospital of Cologne, Kerpener Strasse 62, 50937 Cologne, Germany. Electronic address: jan.borggrefe@uk-koeln.de. 6. Department of Neuroradiology, University Hospital of Cologne, Kerpener Strasse 62, 50937 Cologne, Germany. Electronic address: marc.schlamann@uk-koeln.de. 7. University of Cologne, Center for Neurosurgery, Kerpener Strasse 62, 50937 Cologne, Germany. Electronic address: boris.krischek@uk-koeln.de. 8. University of Cologne, Center for Neurosurgery, Kerpener Strasse 62, 50937 Cologne, Germany. Electronic address: pantelis.stavrinou@uk-koeln.de. 9. Department of Neuroradiology, University Hospital of Aachen, Pauwelsstrasse 30, 52074 Aachen, Germany. Electronic address: ampotsaris@ukaachen.de. 10. Institute of Neuroradiology, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. Electronic address: georg.bohner@charite.de. 11. Department of Neuroradiology, University Hospital Munich (LMU), Marchioninistrasse 15, 81377 Munich, Germany. Electronic address: thomas.liebig@med.uni-muenchen.de. 12. Department of Neuroradiology, University Hospital of Cologne, Kerpener Strasse 62, 50937 Cologne, Germany. Electronic address: chirstoph.kabbasch@uk-koeln.de.
Abstract
OBJECTIVE: Clinical data on the new Neuroform Atlas stent for treatment of intracranial aneurysms is limited. We report our experience in stent-assisted coiling procedures of complex, predominantly wide-necked aneurysms. METHODS: This is a retrospective study of consecutive patients treated with the Neuroform Atlas stent between August 2014 and November 2018 at three German tertiary care centers. We evaluated the complication rate, clinical outcome and angiographic result at mid-term follow-up. RESULTS: Thirty-seven aneurysms (elective: 23, previous subarachnoid hemorrhage: 14) were treated in 37 patients (mean age: 59.4 years, 62.2% females). Stent-assisted coiling was successful in all cases, achieving immediate complete aneurysm occlusion by coiling in 83.8% and neck remnants in 16.2%. At 6-month angiographic follow-up, complete aneurysm occlusion was obtained in 80.8% (21/26), neck remnants in 11.5% (3/26) and aneurysm remnants in 7.7% (2/26). Retreatment was necessary in 7.7%. Ischemic stroke occurred in one patient (2.7%). At 6-month clinical follow-up, procedure-related permanent morbidity was 2.7%. CONCLUSIONS: Our results demonstrate that treatment of intracranial aneurysms with the Neuroform Atlas stent is associated with low morbidity and a high aneurysm occlusion rate at mid-term follow-up. Further studies will be necessary to confirm our results.
OBJECTIVE: Clinical data on the new Neuroform Atlas stent for treatment of intracranial aneurysms is limited. We report our experience in stent-assisted coiling procedures of complex, predominantly wide-necked aneurysms. METHODS: This is a retrospective study of consecutive patients treated with the Neuroform Atlas stent between August 2014 and November 2018 at three German tertiary care centers. We evaluated the complication rate, clinical outcome and angiographic result at mid-term follow-up. RESULTS: Thirty-seven aneurysms (elective: 23, previous subarachnoid hemorrhage: 14) were treated in 37 patients (mean age: 59.4 years, 62.2% females). Stent-assisted coiling was successful in all cases, achieving immediate complete aneurysm occlusion by coiling in 83.8% and neck remnants in 16.2%. At 6-month angiographic follow-up, complete aneurysm occlusion was obtained in 80.8% (21/26), neck remnants in 11.5% (3/26) and aneurysm remnants in 7.7% (2/26). Retreatment was necessary in 7.7%. Ischemic stroke occurred in one patient (2.7%). At 6-month clinical follow-up, procedure-related permanent morbidity was 2.7%. CONCLUSIONS: Our results demonstrate that treatment of intracranial aneurysms with the Neuroform Atlas stent is associated with low morbidity and a high aneurysm occlusion rate at mid-term follow-up. Further studies will be necessary to confirm our results.
Authors: Alexander G Wisniewski; Mohammad Mahdi Shiraz Bhurwani; Kelsey N Sommer; Andre Monteiro; Ammad Baig; Jason Davies; Adnan Siddiqui; Ciprian N Ionita Journal: Proc SPIE Int Soc Opt Eng Date: 2022-04-04
Authors: Lukas Goertz; Michael Artur Smyk; Eberhard Siebert; Bernd Turowski; Jan Borggrefe; Anastasios Mpotsaris; Georg Bohner; Marc Schlamann; Franziska Dorn; Thomas Liebig; Christoph Kabbasch Journal: Clin Neuroradiol Date: 2020-01-22 Impact factor: 3.649
Authors: Brian T Jankowitz; Ashutosh P Jadhav; Bradley Gross; Tudor G Jovin; Abdulnasser A Alhajeri; Justin F Fraser; Ricardo A Hanel; Eric Sauvageau; Amin Aghaebrahim; Donald Frei; Richard Bellon; David Loy; Ajit S Puri; Adel M Malek; Ajith Thomas; Gabor Toth; Demetrius Klee Lopes; R Webster Crowley; Adam S Arthur; John Reavey-Cantwell; Eugene Lin; Adnan H Siddiqui; Michael J Alexander; Ahmad Khaldi; Geoffrey P Colby; Justin M Caplan; Sudhakar R Satti; Aquilla S Turk; Alejandro M Spiotta; Richard Klucznik; Danial K Hallam; David Kung; Michael T Froehler; R Charles Callison; Peter Kan; Steven W Hetts; Osama O Zaidat Journal: J Neurointerv Surg Date: 2021-03-15 Impact factor: 5.836