{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T07:26:16Z","timestamp":1772695576617,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neuroimaging"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Purpose<\/jats:title><jats:p>Neuroform Atlas stent can be deployed directly via gateway balloon for angioplasty and stent placement without the need for exchange maneuver required for Wingspan stent use. We present our initial experience of this strategy in intracranial atherosclerosis\u2010associated large vessel occlusions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients were identified through mechanical thrombectomy (MT) database from January 2020 to June 2022 at our institutions. Due to reocclusion or impending occlusion, rescue angioplasty with stent placement was performed after initial standard MT. Primary outcomes were good angiographic recanalization with modified thrombolysis in cerebral infarction (mTICI) score of 2b\u20103, rate of intracranial hemorrhage (ICH), and favorable functional outcome at 3\u00a0months, that is, modified Rankin Scale (mRS) score of 0\u20103.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 22 patients treated using this technique. Among those, 11 were females with their average age at 66\u00a0years (range: 52\u201085). Initial median National Institute of Health Stroke Scale score was 11 (range: 5\u201030) and all patients received loading doses of aspirin and P2Y\u2081\u2082 inhibitor. After performing submaximal angioplasty and Neuroform Atlas stent deployment through the gateway balloon, we achieved final mTICI of 2b\u20103 in 20 (90%) patients. One patient had ICH post\u2010op that was asymptomatic. Eight (36%) patients had mRS of 0\u20103 at 90\u00a0days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our preliminary experience suggests possible safety and feasibility of deploying Neuroform Atlas stent through a compatible Gateway balloon microcatheter without the need for ICH\u2010associated microcatheter exchange. Further studies with long\u2010term clinical and angiographic follow\u2010up are warranted to corroborate our initial findings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jon.13139","type":"journal-article","created":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T03:55:26Z","timestamp":1688183726000},"page":"773-780","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Novel technique of stent placement via gateway balloon in intracranial atherosclerosis\u2010associated large vessel occlusion"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0207-1999","authenticated-orcid":false,"given":"Muhammad Zeeshan","family":"Memon","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Rutgers The State University of New Jersey Newark New Jersey USA"},{"name":"Department of Neurology University of Texas Medical Branch Galveston Texas 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