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Aneurysm IV: Nursing Management01:22

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Related Experiment Video

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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Neuroform Atlas stent-assisted coiling: jailing versus re-crossing techniques.

Thomas Snyder1, Brian Jankowitz2, Osama O Zaidat3

  • 1Hackensack Meridian JFK University Medical Center, Edison, New Jersey, USA.

Journal of Neurointerventional Surgery
|March 4, 2026
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Summary

Stent-assisted coiling (SAC) techniques, including jailing and re-crossing, show similar safety and efficacy for wide-neck aneurysms. This comparison of SAC methods confirms comparable outcomes in occlusion rates and safety events at 12 months.

Keywords:
AneurysmCoilStent

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Area of Science:

  • Interventional neuroradiology
  • Cerebrovascular disease management
  • Medical device technology

Background:

  • Stent-assisted coiling (SAC) is a key treatment for wide-neck aneurysms.
  • Common SAC techniques include jailing a microcatheter or re-crossing interstices.
  • Comparative data on these SAC techniques is limited.

Purpose of the Study:

  • To compare the safety and efficacy of different stent-assisted coiling techniques.
  • To analyze outcomes based on operator-determined technique choice (jailing vs. re-crossing).
  • Utilizing data from the ATLAS Investigational Device Exemption trial.

Main Methods:

  • Analysis of 298 aneurysms treated with Neuroform Atlas SAC across 25 centers.
  • Comparison of jailing versus re-crossing techniques, including variations.
  • Evaluation of patient demographics, aneurysm characteristics, procedure details, complications, and 12-month digital subtraction angiography (DSA) for occlusion.

Main Results:

  • No significant differences in aneurysm size or location between jailing and re-crossing groups.
  • Comparable number of coils used and procedure durations.
  • Similar 12-month occlusion rates (89.4% vs. 83.9%) and safety events between techniques.

Conclusions:

  • Stent-assisted coiling techniques (jailing vs. re-crossing) demonstrate comparable safety and efficacy.
  • No significant differences in occlusion rates or safety events were observed at 12 months.
  • The choice between jailing and re-crossing techniques in SAC does not impact key outcomes.