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.
Abstract

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