ArticleQuantitative imaging in medicine and surgery2025
Comparative analysis of Neuroform Atlas and Enterprise 2 stents in stent-assisted coiling for anterior circulation aneurysms: a propensity score-matched study.
Article in Quantitative imaging in medicine and surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Stent-assisted coiling (SAC) is widely used for wide-necked intracranial aneurysms. Limited studies have compared new generation Neuroform Atlas and Enterprise 2 (EP2) stents. This study compared the two in terms of efficacy, safety, and cost implications. Methods: Data from 572 patients with anterior circulation aneurysms treated with SAC using either Atlas or EP2 stents were retrospectively analyzed. Propensity score matching (PSM) was applied to balance patient and aneurysm characteristics between the groups. Results: The Atlas group had a higher prevalence of male patients, smokers, drinkers, hypertensives, and distal carotid artery aneurysms. The dome-to-neck ratio was larger in the EP2 group. After PSM (147 matched pairs), there were no significant differences in occlusion rates (89.1% Conclusions: Atlas and EP2 stents are effective for anterior circulation aneurysms. EP2 stent offers economic benefits, whereas Atlas stent was more commonly used for aneurysms with smaller parent artery diameters and bifurcation aneurysms and ischemic complications were less frequent with the Neuroform Atlas compared to EP2 in these aneurysm types.
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