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Research ArticleNeurointervention

Multicenter Postmarket Analysis of the Neuroform Atlas Stent for Stent-Assisted Coil Embolization of Intracranial Aneurysms

J.-K. Burkhardt, V. Srinivasan, A. Srivatsan, F. Albuquerque, A.F. Ducruet, B. Hendricks, B.A. Gross, B.T. Jankowitz, A.J. Thomas, C.S. Ogilvy, G.A. Maragkos, A. Enriquez-Marulanda, R.W. Crowley, M.R. Levitt, L.J. Kim, C.J. Griessenauer, C.M. Schirmer, S. Dalal, K. Piper, M. Mokin, E.A. Winkler, A.A. Abla, C. McDougall, L. Birnbaum, J. Mascitelli, M. Litao, O. Tanweer, H. Riina, J. Johnson, S. Chen and P. Kan
American Journal of Neuroradiology June 2020, 41 (6) 1037-1042; DOI: https://doi.org/10.3174/ajnr.A6581
J.-K. Burkhardt
aFrom the Department of Neurosurgery (J.-K.B., V.S., A.S., O.T., J.J., S.C., P.K.), Baylor College of Medicine, Houston, Texas
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V. Srinivasan
aFrom the Department of Neurosurgery (J.-K.B., V.S., A.S., O.T., J.J., S.C., P.K.), Baylor College of Medicine, Houston, Texas
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A. Srivatsan
aFrom the Department of Neurosurgery (J.-K.B., V.S., A.S., O.T., J.J., S.C., P.K.), Baylor College of Medicine, Houston, Texas
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F. Albuquerque
bDepartment of Neurosurgery (F.A., A.F.D., B.H.), Barrow Neurological Institute, Phoenix, Arizona
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A.F. Ducruet
bDepartment of Neurosurgery (F.A., A.F.D., B.H.), Barrow Neurological Institute, Phoenix, Arizona
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B. Hendricks
bDepartment of Neurosurgery (F.A., A.F.D., B.H.), Barrow Neurological Institute, Phoenix, Arizona
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B.A. Gross
cDepartment of Neurological Surgery (B.A.G.), University of Pittsburgh Medical Center Presbyterian, Pittsburgh, Pennsylvania
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B.T. Jankowitz
dDepartment of Neurosurgery (B.T.J.), Cooper University, Camden, New Jersey
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A.J. Thomas
eBeth Israel Deaconess Medical Center (A.J.T., C.S.O., G.A.M.), Harvard Medical School, Boston, Massachusetts
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C.S. Ogilvy
eBeth Israel Deaconess Medical Center (A.J.T., C.S.O., G.A.M.), Harvard Medical School, Boston, Massachusetts
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G.A. Maragkos
eBeth Israel Deaconess Medical Center (A.J.T., C.S.O., G.A.M.), Harvard Medical School, Boston, Massachusetts
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A. Enriquez-Marulanda
fBoston Medical Center (A.E.-M.), Boston, Massachusetts
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R.W. Crowley
gDepartment of Neurosurgery (R.W.C.), Rush Medical College, Chicago, Illinois
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M.R. Levitt
hDepartment of Neurological Surgery (M.R.L., L.J.K.), University of Washington, Seattle, Washington
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L.J. Kim
hDepartment of Neurological Surgery (M.R.L., L.J.K.), University of Washington, Seattle, Washington
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C.J. Griessenauer
iDepartment of Neurosurgery (C.J.G., C.M.S., S.D.), Geisinger Health, Danville, Pennsylvania
jResearch Institute of Neurointervention (C.J.G., C.M.S.), Paracelsus Medical University, Salzburg, Austria
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C.M. Schirmer
iDepartment of Neurosurgery (C.J.G., C.M.S., S.D.), Geisinger Health, Danville, Pennsylvania
jResearch Institute of Neurointervention (C.J.G., C.M.S.), Paracelsus Medical University, Salzburg, Austria
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S. Dalal
iDepartment of Neurosurgery (C.J.G., C.M.S., S.D.), Geisinger Health, Danville, Pennsylvania
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K. Piper
kDepartment of Neurosurgery (K.P., M.M.), University of Southern Florida College of Public Health, Tampa, Florida
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M. Mokin
kDepartment of Neurosurgery (K.P., M.M.), University of Southern Florida College of Public Health, Tampa, Florida
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E.A. Winkler
lDepartment of Neurological Surgery (E.A.W., A.A.A.), University of California, San Francisco, San Francisco, California
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A.A. Abla
lDepartment of Neurological Surgery (E.A.W., A.A.A.), University of California, San Francisco, San Francisco, California
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C. McDougall
mDepartment of Neurosurgery (C.M., L.B., J.M.), University of Texas Health San Antonio, San Antonio, Texas
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L. Birnbaum
mDepartment of Neurosurgery (C.M., L.B., J.M.), University of Texas Health San Antonio, San Antonio, Texas
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J. Mascitelli
mDepartment of Neurosurgery (C.M., L.B., J.M.), University of Texas Health San Antonio, San Antonio, Texas
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M. Litao
nDepartment of Neurosurgery (M.L., O.T., H.R.), NYU Langone Medical Center, New York, New York.
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O. Tanweer
aFrom the Department of Neurosurgery (J.-K.B., V.S., A.S., O.T., J.J., S.C., P.K.), Baylor College of Medicine, Houston, Texas
nDepartment of Neurosurgery (M.L., O.T., H.R.), NYU Langone Medical Center, New York, New York.
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H. Riina
nDepartment of Neurosurgery (M.L., O.T., H.R.), NYU Langone Medical Center, New York, New York.
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J. Johnson
aFrom the Department of Neurosurgery (J.-K.B., V.S., A.S., O.T., J.J., S.C., P.K.), Baylor College of Medicine, Houston, Texas
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S. Chen
aFrom the Department of Neurosurgery (J.-K.B., V.S., A.S., O.T., J.J., S.C., P.K.), Baylor College of Medicine, Houston, Texas
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P. Kan
aFrom the Department of Neurosurgery (J.-K.B., V.S., A.S., O.T., J.J., S.C., P.K.), Baylor College of Medicine, Houston, Texas
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    FIGURE.

    Immediate RROC grade (A) compared with aneurysm location and dichotomized into RROC grades I + II and IIIa + IIIb (B). Immediate RROC grade (C) compared with ruptured or unruptured aneurysm status before treatment and dichotomized into RROC grades I + II and IIIa + IIIb (D). BA indicates basilar artery apex; ICA, supraclinoid internal carotid artery, including the ophthalmic/paraclinoid segment and anterior choroidal artery; ICA T, internal carotid artery terminus; PCA, posterior cerebral artery; PCaA, pericallosal artery; PcomA, posterior communicating artery; VBJ, vertebrobasilar junction; SCA, superior cerebellar artery.

Tables

  • Figures
  • Comparison of clinical complications with previous studies

    StudyDeployment Failure (%)Hemorrhagic Complications (%)Thromboembolic Complications (%)Procedure-Related Clinical Complications (%)Permanent Neurologic Deficit (%)Mortality (%)
    Caragliano et al8 (2019)02.653.56.2–2.65
    Tsai et al12 (2019)01.75.26.900
    Cay et al9 (2018)000000
    Gross et al6 (2019)303310
    Ulfert et al13 (2018)002.72.700
    Quintana et al11 (2019)3.33.33.33.300
    Jankowitz et al10 (2019)03.33.36.600
    ten Brinck et al1 (2019)11.1014.818.530
    Current study2.31.64.73.1–0.8
    • Note:— – indicates not reported.

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American Journal of Neuroradiology: 41 (6)
American Journal of Neuroradiology
Vol. 41, Issue 6
1 Jun 2020
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Cite this article
J.-K. Burkhardt, V. Srinivasan, A. Srivatsan, F. Albuquerque, A.F. Ducruet, B. Hendricks, B.A. Gross, B.T. Jankowitz, A.J. Thomas, C.S. Ogilvy, G.A. Maragkos, A. Enriquez-Marulanda, R.W. Crowley, M.R. Levitt, L.J. Kim, C.J. Griessenauer, C.M. Schirmer, S. Dalal, K. Piper, M. Mokin, E.A. Winkler, A.A. Abla, C. McDougall, L. Birnbaum, J. Mascitelli, M. Litao, O. Tanweer, H. Riina, J. Johnson, S. Chen, P. Kan
Multicenter Postmarket Analysis of the Neuroform Atlas Stent for Stent-Assisted Coil Embolization of Intracranial Aneurysms
American Journal of Neuroradiology Jun 2020, 41 (6) 1037-1042; DOI: 10.3174/ajnr.A6581

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Multicenter Postmarket Analysis of the Neuroform Atlas Stent for Stent-Assisted Coil Embolization of Intracranial Aneurysms
J.-K. Burkhardt, V. Srinivasan, A. Srivatsan, F. Albuquerque, A.F. Ducruet, B. Hendricks, B.A. Gross, B.T. Jankowitz, A.J. Thomas, C.S. Ogilvy, G.A. Maragkos, A. Enriquez-Marulanda, R.W. Crowley, M.R. Levitt, L.J. Kim, C.J. Griessenauer, C.M. Schirmer, S. Dalal, K. Piper, M. Mokin, E.A. Winkler, A.A. Abla, C. McDougall, L. Birnbaum, J. Mascitelli, M. Litao, O. Tanweer, H. Riina, J. Johnson, S. Chen, P. Kan
American Journal of Neuroradiology Jun 2020, 41 (6) 1037-1042; DOI: 10.3174/ajnr.A6581
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