Related Experiment Video
Updated: Feb 7, 2026

Biodegradable Magnesium Stent Treatment of Saccular Aneurysms in a Rat Model - Introduction of the Surgical Technique
Published on: October 1, 2017
A clinical comparison of Atlas and LVIS Jr stent-assisted aneurysm coiling
Bradley A Gross1,2, William J Ares1,2, Andrew F Ducruet3
1UPMC Stroke Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Insights
The Atlas stent demonstrated superior aneurysm occlusion rates and reduced in-stent stenosis compared to the LVIS Jr stent in stent-assisted coiling procedures. This study highlights Atlas as a potentially more effective option for treating brain aneurysms.
Area of Science:
- Neurosurgery
- Interventional Neuroradiology
- Vascular Neurology
Background:
- Limited comparative data exists for LVIS Jr and Atlas stent-assisted coiling.
- Previous case series suggest safety and efficacy for both devices individually.
Purpose of the Study:
- To clinically compare LVIS Jr and Atlas stents for aneurysm coiling.
- To evaluate and emphasize comparative rates of technical success and complications.
Main Methods:
- Retrospective analysis of an institutional endovascular database.
- Inclusion of aneurysms treated with LVIS Jr or Atlas stent-assisted coiling.
- Evaluation of demographic data, aneurysm characteristics, procedural details, complications, and angiographic outcomes.
Main Results:
- Atlas stent group (37 patients) vs. LVIS Jr stent group (27 patients).
- Higher initial Raymond 1 occlusion with Atlas (57% vs. 41%, P=0.03).
- Greater final Raymond 1 or 2 occlusion (100% vs. 81%, P=0.04) and lower in-stent stenosis (0% vs. 19%, P=0.04) with Atlas.
- No significant difference in ischemic complications between groups.
Conclusions:
- Atlas stent-assisted coiling achieved superior aneurysm obliteration rates compared to LVIS Jr.
- Atlas stent placement was associated with significantly lower rates of in-stent stenosis.
- Atlas may offer improved long-term outcomes in stent-assisted coiling for aneurysms.
Background:
Case series have described the safety and efficacy of LVIS Jr and Atlas stent-assisted aneurysm coiling, but their comparative clinical performance has not yet been formally studied.
Objective:
To clinically compare LVIS Jr and Atlas stents, emphasizing comparative rates of technical success and complications.
Methods:
Our institutional endovascular database was queried for aneurysms treated by stent-assisted coiling with either the LVIS Jr or Atlas stents. Demographic data, aneurysm information, treatment technique, periprocedural and device-related complications, and initial and follow-up angiographic results were evaluated.
Results:
Thirty-seven patients underwent Atlas stent placement and 27 patients underwent LVIS Jr stent placement for aneurysm coiling. There was no significant difference in aneurysm location, size, coiling technique, and coil packing density between the two cohorts. The rate of initial Raymond 1 occlusion was significantly greater in the Atlas cohort (57% vs 41%, P=0.03). The rate of postoperative ischemic complications, both clinically apparent and as defined on postoperative MRI diffusion-weighted imaging, did not significantly differ between the two groups. Follow-up DSA demonstrated a significantly greater rate of Raymond 1 or 2 occlusion for the Atlas cohort (100% vs 81%, P=0.04), and a significantly lower rate of in-stent stenosis (0% vs 19%, P=0.04).
Conclusion:
This institutional analysis demonstrates greater obliteration rates and lower in-stent stenosis rates for aneurysms treated via Atlas stent-assisted coiling as compared with those treated via LVIS Jr stent-assisted coiling.
Related Concept Videos
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Aneurysm I: Introduction
The Sense of Self: Reflected Self-Appraisal and Social Comparison
Multiple Comparison Tests
It would be easy to compare two samples using a significance alpha level of 0.05. In other words, there is only one sample pair to be compared. However, it would be difficult to identify a significantly different sample if the number...
Aneurysm IV: Nursing Management
Evolutionary Relationships through Genome Comparisons

