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ORIGINAL RESEARCH article

Front. Neurol.

Sec. Endovascular and Interventional Neurology

Volume 16 - 2025 | doi: 10.3389/fneur.2025.1674012

Neuroform Atlas Stent-assisted Coiling of Ruptured Wide-necked Anterior Communicating Artery Aneurysms

Provisionally accepted
Xiang  XuXiang Xu1*Hongping  WangHongping Wang1Shengli  HuShengli Hu2Jianyi  XuJianyi Xu3Jian  PeiJian Pei1Yunhe  GaoYunhe Gao1Baogang  TianBaogang Tian1Dayong  WangDayong Wang1Yu  ZhengYu Zheng1
  • 1Tangshan Gongren Hospital, Tangshan, China
  • 2Taihe Hospital, Shiyan, China
  • 3University of Michigan, Ann Arbor, United States

The final, formatted version of the article will be published soon.

ABSTRACT One of the most crucial methods for treating wide-neck anterior communicating artery aneurysms is endovascular therapy. However, because of the small arterial diameter and volume with hematoma, endovascular embolization procedures for the treatment of burst wide-necked ACoA aneurysms are difficult. Few studies have been conducted to evaluate the Neuroform Atlas stent's safety and effectiveness in treating wide-necked anterior communicating artery aneurysms, despite the fact that it has been frequently utilized to treat wide-necked aneurysms since its 2020 debut in China. Thus, this article's goal is to examine the effectiveness and safety of Neuroform Atlas stent-assisted coiling in the management of anterior communicating artery burst wide-necked aneurysms. 30 patients with burst wide-necked anterior communicating artery aneurysms were treated with Neuroform Atlas stents between August 2020 and June 2022. Clinical and angiographic results were examined retrospectively. All 30 patients had Neuroform Atlas stents placed successfully and in a satisfactory location. From August 2020 to June 2022, Neuroform Atlas stents were used to treat 30 patients with aneurysms of the ruptured wide-necked anterior connecting arteries. Neuroform Atlas stents were successfully and satisfactorily positioned in each of the 30 patients. Three patientsindividuals had postoperative complications. 29 patients (96.7%) achieved an mRS score of ≤2, demonstrating satisfactory clinical outcomes, while one patient (3.3%) had an mRS score of 3, indicating poor prognosis.29 individuals (96.7%) had satisfactory clinical outcomes, whereas 1 patient (3.3%) had bad ones. The lone patient with subpar clinical results had an mRS score of 3. This pilot research shows that coiling ruptured wide-necked aneurysms of the anterior communicating artery with the use of a Neuroform Atlas stent is safe and effective.

Keywords: Ruptured intracranial aneurysm, Wide-necked, anterior communicating artery, Stent-assisted coiling, endovascular treatment, Neuroform Atlas stent

Received: 07 Aug 2025; Accepted: 23 Sep 2025.

Copyright: © 2025 Xu, Wang, Hu, Xu, Pei, Gao, Tian, Wang and Zheng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Xiang Xu, xuxiang24@hotmail.com

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