The Importance of Coil Packing
|
|
- Shanna Hood
- 6 years ago
- Views:
Transcription
1 The Importance of Coil Packing Keigo Osuga, MD, PhD Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine
2 Keigo Osuga, M.D., Ph.D. No relevant financial relationship reported
3 VAAs: When Packing Indicated? The anatomy is favorable for packing - Narrow-neck, not too large (<3cm) The anatomy is unsuitable for isolation - Short distance to vital branch to preserve Parent artery should be preserved to avoid organ ischemia (esp. kidney) - Angulation of parent a. precludes covered stenting Vital artery < to 3cm preserve Angulation of parent artery Too short Parent artery Parent artery Vital organ to protect
4 Ryu CW et al. Neuroradiology 2011;53: UCAS Japan investigators.nejm 2012;366: Sluzewski, et al. Radiology 2004;231: What We Learned from Packing Intracranial Aneurysms Risk factors for rupture - Aneurysm size >7mm, higher height/neck ratio Morphology unsuitable for tight packing - Wide-neck (Neck diameter > 4mm, dome/neck ratio < 2) - Irregular shape or daughter sac - Giant > 25mm - Intramural thrombosis -- coil may migrate in thrombus Compaction or recanalization rates: 26-28% Intramural thrombus Compaction less likely at packing density (PD) >24% Height Neck Dome Neck
5 Little is Known for Packing VAA! No established data for natural history or the risk of rupture. Few studies evaluate the optimal PD to prevent compaction or recanalization? Tight packing is technically difficult compared to intracranial aneurysms: Larger aneurysm size Wide-neck Irregular dome shape Branches from dome
6 Yasumoto et al. JVIR 2013;24: Osaka Multi-center Study Retrospective study to assess relationship between PD and incidence of compaction/recanalization of true VAAs. 42 pts. with 46 unruptured true VAAs in M:F=19:23, mean age 61.4 yo (range 35-86) - 16 splenic, 11 pancreatoduodenal, 8 renal, 6 hepatic, & 5 others Aneurysm was packed as tightly as possible with bare detachable coils (IDC, GDC, Detach, Cerecyte): - Mean aneurysm size 19 mm (5-40 mm) - Mean PD 19% (5-42 %) - Mean f/u 37 mo (11-80 mo) - Coil compaction n=2 (4 %) - Recanalization n=12 (26 %)
7 Packing Density (%) Yasumoto et al. JVIR 2013;24: Compaction / Recanalization Occur at Lower PD Compaction/Reca nalization Mean 12% Mean 22% Yes No PD was significantly lower in aneurysms with compaction/racanalization
8 Yasumoto et al. JVIR 2013;24: Aneurysms 20mm Are Prone To Compaction / Recanalization Aneurysm size < 20mm (n=28) 20mm (n=18) P-value Packing density (%) 22 ± 8 15 ± Incidence of compaction/recanalizatio n (%) Aneurysms 20mm showed significantly lower PD and higher incidence of compaction/recanalization
9 Packing density (%) No Compaction / Recanalization at PD >24% 16/46=34.8% >3cm Cut-off PD=24% compaction/recanalization No Yes Aneurysm size (mm) PD>24% was achieved in only 35% of patients. If aneurysm >3cm, it is difficult to achieve by the standard bare platinum coil. Yasumoto et al. JVIR 2013;24:
10 Case: Late Compaction at 8% PD Φ 37 mm, PD 8% f/u +46mo Yasumoto et al. JVIR 2013;24:
11 Technical Considerations for Tight Packing of VAAs Assessment of 3D-aneurysm sizes, morphology, and related anatomy using 3D-CT or rotational angio. Microcatheter positioning and coil arrangement should be monitored with optimal projection Detachable coils with 3D and/or 2D configurations - Controllability and retrievability Adjunctive techniques for larger, wide-neck aneurysms: - Neck-remodeling technique - Double microcatheter technique - Newer generation coils to increase packing density
12 Real-Time PD Calculation 14 coils 430cm PD 29.5%
13 Newer Coils for Tighter Packing Fibered detachable coils Retracta (Cook) Interlock (Boston Scientific) - To increase thrombogenecity Bioactive coils Cerecyte (Codman) - PGA polymer suture inside the coil Hydrogel coils AZUR (Terumo) (if hydrogel fully expanded) Large volume coils Ruby (Penumbra) (up to 60cm length) Delta design Deltamaxx, Deltapaq (Codman) - Flexibility to deflect to fill open space
14 Osuga & Yasumoto. Endovascular Today, August 2014 Case: GDA aneurysm Aneurysm size: 24 x 22 x 19 mm Ruby standard mm x 60-57cm soft: 10-5 mm x 30-9 cm Extra-soft: 4-3 mm x 8-6 cm 19 coils 709cm PD 27.4%
15 Osuga & Yasumoto. Endovascular Today, August 2014 Case: GDA aneurysm + 24mo No coil compaction or recanalizataion
16 Case: L-Renal Artery Aneurysm Ruby: mm x cm Azur: 8-4 mm x 20-5 cm 14 coils 557 cm PD 34%
17 Case: L-Renal Artery Aneurysm +1M +6M +12M +18M X-rays demonstrate coil compaction around neck CE-MRA shows reperfusion through neck
18 Case: Hepatic Artery Aneurysm Intramural thrombus
19 Case: Hepatic Artery Aneurysm Aneurysm size: 26 x 25 x 22 mm Ruby: mm x cm Azur: 4 mm x 20 cm 20 coils 875 cm PD 21.8%
20 Case: Hepatic Artery Aneurysm + 3mo Coil compaction due to coil migration into thrombus
21 Case: Hepatic Artery Aneurysm + 5mo
22 Case: Hepatic Artery Aneurysm + 8mo No reperfusion
23 Conclusion Currently, tight packing is the only predictor for long-term occlusion of saccular VAAs. Aneurysms 20 mm or PD < 24% are prone to compaction or recanalization. Real-time calculation of PD and careful imaging follow-up are important for successful outcomes. Use of newer generation coils and adjunctive techniques can be considered especially for large or wide-neck aneurysms.
24 Thank you for your kind attention!
25
Endovascular Techniques for Visceral Artery Aneurysm Treatment
Wednesday, January 31, 2017 17:21-17:27 Endovascular Techniques for Visceral Artery Aneurysm Treatment S.Müller-Hülsbeck, MD, EBIR, FCIRSE, FICA, FSIR ACADEMIC HOSPITALS Flensburg of Kiel University Faculty
More informationThe Continuing Role of Pushable Coils: Advances and Fiscal Responsibilities JAMES F BENENATI MD
The Continuing Role of Pushable Coils: Advances and Fiscal Responsibilities JAMES F BENENATI MD James Benenati, MD Royalty: Penumbra Stock: Covidien Consultant/Advisory Board: Penumbra, Endoshape, Scientia
More informationTHE POWER OF HYDROGEL
THE POWER OF HYDROGEL COIL CONSTRUCTION There are many types of coils to choose from when preparing for an embolic procedure The construction of the coil may have an impact on the effectiveness of clinical
More informationEMBOLIZATION DEVICE UPDATE
EMBOLIC SPHERES Product Composition Type Sizes (µm) Color Coded AngioDynamics LC Bead Polyvinyl alcohol hydrogel microsphere Calibrated sphere 100 300, 300 500, 500 700 Labels are color coded and the beads
More informationMulti-modality management of intracranial aneurysms
Multi-modality management of intracranial aneurysms Christopher Koebbe, Maj, USAF, MC Staff Neurosurgeon San Antonio Military Medical Consortium Clinical Assistant Professor Department of Neurological
More informationSPLENIC ANEURYSM: SAVING OR EMBOLIZING THE VESSEL
SPLENIC ANEURYSM: SAVING OR EMBOLIZING THE VESSEL Ziv J Haskal MD FSIR FAHA FACR FCIRSE GEST Director / Co-Founder Professor of Radiology Vascular & Interventional Radiology Editor in Chief, Journal of
More informationSplenic Trauma Where to Occlude and with what
Splenic Trauma Where to Occlude and with what Trauma session, Thurday May 5, 2016 Pierre GOFFETTE St-Luc University Hospital Brussels Pierre Goffette, M.D. Consultant/Advisory Board: Covidien (Neuro) and
More informationThe New World of (Micro)Plugs. Jafar Golzarian Professor of Radiology and Surgery University of Minnesota Medical Center
The New World of (Micro)Plugs Jafar Golzarian Professor of Radiology and Surgery University of Minnesota Medical Center Jafar Golzarian, M.D. Stock: Embomedics Speakers Bureau: Boston Scientific, AngioDynamics,
More informationRUBY. Large Volume Detachable Coil. Copyright 2014 Penumbra, Inc. All rights reserved. 7516, Rev.A
RUBY TM Large Volume Detachable Coil TM Copyright 2014 Penumbra, Inc. All rights reserved 7516, Rev.A RUBY NEW SOLUTIONS IN PERIPHERAL THERAPY THE PERFECT DEVICE FOR VISCERAL ANEURYSMS Lorenzo Paolo Moramarco,
More informationPeripheral Aneurysm Coiling Using Large Volume Ruby Coils Results from the ACE Study
Peripheral Aneurysm Coiling Using Large Volume Ruby Coils Results from the ACE Study Corey Teigen, MD 1 1 Sanford Medical Center, Fargo, ND Blaise Baxter, MD 2 ; J. David Moskovitz, MD 3 ; Henry Moyle,
More informationCERECYTE Microcoils: Accessories: MICRUSPHERE Microcoil. PRESIDIO Microcoil. CASHMERE Microcoil. DELTAPAQ Microcoil. DELTAPLUSH Microcoil
0.25 in. CERECYTE MICROCOILS CERECYTE Microcoils: MICRUSPHERE Microcoil PRESIDIO Microcoil 8.718 in. CASHMERE Microcoil DELTAPAQ Microcoil DELTAPLUSH Microcoil ULTIPAQ Microcoil CERECYTE Microcoils: Accessories:
More informationNo Neck Is Needed! Treat the Aneurysm Instead! Andrew Holden, MD Associate Professor of Radiology Auckland City Hospital
No Neck Is Needed! Treat the Aneurysm Instead! Andrew Holden, MD Associate Professor of Radiology Auckland City Hospital Disclosures Andrew Holden, MBChB, FRANZCR No financial investment to disclose Investigator
More informationMODERN METHODS FOR TREATING ABDOMINAL ANEURYSMS AND THORACIC AORTIC DISEASE
MODERN METHODS FOR TREATING ABDOMINAL ANEURYSMS AND THORACIC AORTIC DISEASE AAA FACTS 200,000 New Cases Each Year Ruptured AAA = 15,000 Deaths per Year in U.S. 13th Leading Cause of Death 80% Chance of
More informationRepair of Intracranial Vessel Perforation with Onyx-18 Using an Exovascular Retreating Catheter Technique
Repair of Intracranial Vessel Perforation with Onyx-18 Using an Exovascular Retreating Catheter Technique Michael Horowitz M.D. Pittsburgh, Pennsylvania Background Iatrogenic intraprocedural rupture rates
More informationVisceral aneurysms: Technical options Coils, Plugs, Stents and liquid agents. Pierre P. GOFFETTE St-Luc University Hospital Brussels - Belgium
Visceral aneurysms: Technical options Coils, Plugs, Stents and liquid agents Pierre P. GOFFETTE St-Luc University Hospital Brussels - Belgium Pierre Goffette, M.D. Consultant/Advisory Board: Covidien (Neuro)
More informationExpand Your Confidence in Embolisation Treatment: Ruby Coil and POD
Expand Your Confidence in Embolisation Treatment: Ruby Coil and POD Experts discuss the Ruby coil and POD systems. WITH LORENZO PAOLO MORAMARCO, MD; PIETRO QUARETTI, MD; VINCENT VIDAL, MD, PhD; CIRO FERRER,
More informationBilateral use of the Gore IBE device for bilateral CIA aneurysms and a first interim analysis of the prospective Iceberg registry
Bilateral use of the Gore IBE device for bilateral CIA aneurysms and a first interim analysis of the prospective Iceberg registry Michel MPJ Reijnen, MD, PhD Department of Vascular Surgery, Rijnstate Hospital
More informationShallow aneurysms with wide necks pose a technical challenge
ORIGINAL RESEARCH INTERVENTIONAL Coil Protection Using Small Helical Coils for Wide-Neck Intracranial Aneurysms: A Novel Approach Y.D. Cho, J.Y. Lee, J.H. Seo, S.J. Lee, H.-S. Kang, J.E. Kim, O.-K. Kwon,
More informationNellix Endovascular System: Clinical Outcomes and Device Overview
Nellix Endovascular System: Clinical Outcomes and Device Overview Jeffrey P. Carpenter, MD Professor and Chief, Department of Surgery CAUTION: Investigational device. This product is under clinical investigation
More informationORIGINAL PAPER. Hemispheric divided coiling technique for coil embolization of middle- and large-sized intracranial aneurysms
Nagoya J. Med. Sci. 79. 505 ~ 513, 2017 doi:10.18999/nagjms.79.4.505 ORIGINAL PAPER Hemispheric divided coiling technique for coil embolization of middle- and large-sized intracranial aneurysms Tomotaka
More informationEvolution of Endovascular Aneurysm Treatment: The Good, the Bad and the Ugly
Evolution of Endovascular Aneurysm Treatment: The Good, the Bad and the Ugly Mary E. Jensen, M.D. Director, Interventional Neuroradiology Professor of Radiology, Neurology and Neurological Surgery University
More informationRobert F. Cuff, MD FACS SHMG Vascular Surgery
Robert F. Cuff, MD FACS SHMG Vascular Surgery Objectives To become familiar with the commercially available fenestrated EVAR graft Discuss techniques to increase success Review available data to determine
More information(mm) tungsten alloy. Pushable Platinum 2,3, 4, 5, 6, 7, 8, 9,10,12,14. tungsten alloy. Pushable Platinum 3, 4, 5, 6, 8, 10, Embolization Coils
embolization coils (, Boston Scientific Corporation Cook Medical VortX Diamond-18 VortX-18 Fibered Platinum Straight-18 Figure 8-18 Multi-Loop-18 Complex -18 Fibered Platinum Interlock-18 Fibered IDC Occlusion
More informationShallow aneurysms with wide necks pose a technical challenge
Published June 14, 2012 as 10.3174/ajnr.A3157 ORIGINAL RESEARCH Y.D. Cho J.Y. Lee J.H. Seo S.J. Lee H.-S. Kang J.E. Kim O.-K. Kwon Y.J. Son M.H. Han Coil Protection Using Small Helical Coils for Wide-Neck
More informationOverview of Coil Trials and Registries
Overview of Coil Trials and Registries Society of Vascular and Interventional Neurology 7 th Annual Meeting November 9, 2014 Hollywood, FL Marc A. Lazzaro, MD Assistant Professor of Neurology and Neurosurgery
More informationSystem.
System www.penumbrainc.com POD System Case Examples 45 cm of POD Packing Coil in 1.5 to 3 mm diameter dilating vessel Bronchial Artery Embolization Dr. Amit Kakkar and Dr. Aksim Rivera, Bronx, NY Inflow:
More informationSmall UIAs, <7 mm in diameter, uncommonly cause aneurysmal symptoms and are the most frequently detected incidentally.
Research grant from Stryker Neurovascular Research grant from Covidien/ Medtronic Consultant and proctor for Stryker Neurovascular Consultant and proctor for Covidien/ Medtronic Consultant for Codman Neurovascular
More informationPenumbra, Inc. has been successful in bringing a
Ruby Coil and POD System: A Coil Platform for Fast and Easy Embolization BY PARAG J. PATEL, MD, AND FRANK R. ARKO III, MD Penumbra, Inc. has been successful in bringing a complete embolization system to
More informationVisceral aneurysm. Diagnosis and Interventions M.NEDEVSKA
Visceral aneurysm Diagnosis and Interventions M.NEDEVSKA History 1953 De Bakeyand Cooley Visceral aneurysm VAAs rare, reported incidence of 0.01 to 0.2% on routine autopsies. Clinically important Potentially
More informationCOIL SYSTEM ORDERING INFORMATION
EMBOLIZATION SYSTEM RUBY COIL SYSTEM FRAME with Ruby Standard FILL with Ruby Soft Now with 3 & 40 mm sizes! SYSTEM ANCHOR with Now designed to embolize 3 4 mm vessels! PACK with Coil Now with WAVE Shape
More informationAs data on coil embolization
A Complete Embolization System The Ruby coil and POD devices. As data on coil embolization become more A robust, so must the tools and technology we use. Penumbra, Inc. has advanced this technology with
More informationNeuroform Microdelivery Stent System
Neuroform Microdelivery Stent System Patient Information Booklet TABLE OF CONTENTS What is the Purpose of This Booklet?...2 What is a Wide Neck, Intracranial Aneurysm?...2 What is the Treatment for Wide
More informationInterlocking Detachable Coil Occlusion in the Endovascular Treatment of Intracranial Aneurysms: Preliminary Results
Interlocking Detachable Coil Occlusion in the Endovascular Treatment of Intracranial Aneurysms: Preliminary Results H. Saruhan Cekirge, Isil Saatci, Murat M. Firat, Ferhun Balkanci, and Aytekin Besim PURPOSE:
More informationRetrograde Embolization of a Symptomatic Hypogastric Artery Aneurysm
Retrograde Embolization of a Symptomatic Hypogastric Artery Aneurysm Andrew Unzeitig MD Piedmont Atlanta Hospital Georgia Vascular Society 2017 Annual Meeting Lake Oconee, Georgia Disclosures None Case
More informationHistory of the Powerlink System Design and Clinical Results. Edward B. Diethrich Arizona Heart Hospital Phoenix, AZ
History of the Powerlink System Design and Clinical Results Edward B. Diethrich Arizona Heart Hospital Phoenix, AZ Powerlink System: Unibody-Bifurcated Design Long Main Body Low-Porosity Proprietary eptfe
More informationAnatomy-Driven Endograft Selection for Abdominal Aortic Aneurysm Repair S. Jay Mathews, MD, MS, FACC
Anatomy-Driven Endograft Selection for Abdominal Aortic Aneurysm Repair S. Jay Mathews, MD, MS, FACC Interventional Cardiologist/Endovascular Specialist Bradenton Cardiology Center Bradenton, FL, USA Disclosures
More informationsymptomatic aneurysms or aneurysms that grow >1cm/yr
1. Elective repair for aneurysm >5.5 cm, symptomatic aneurysms or aneurysms that grow >1cm/yr 2. Ruptured AAA Aneurysm Detection and Management Study (ADAM) and UK Small Aneurysm Trial early open surgery
More informationYoung-Guk Ko, M.D. Severance Cardiovascular Hospital, Yonsei University Health System,
Young-Guk Ko, M.D., Dangas G, J Am Coll Cardiol Intv 2012;5:1071 All-cause Mortality Dangas Severance G, J Am Coll Cardiovascular Cardiol Intv Hospital, 2012;5:1071 Yonsei University Health System Aneurysm-related
More informationEndovascular coil embolization of cerebral aneurysms is associated
ORIGINAL RESEARCH T. Ries S. Siemonsen G. Thomalla U. Grzyska H. Zeumer J. Fiehler Long-Term Follow-Up of Cerebral Aneurysms after Endovascular Therapy Prediction and Outcome of Retreatment BACKGROUND
More informationUsefulness of Coil-assisted Technique in Treating Wide-neck Intracranial Aneurysms: Neck-bridge Procedure Using the Coil Mass as a Support
Journal of Neuroendovascular Therapy 2017; 11: 220 225 Online December 14, 2016 DOI: 10.5797/jnet.tn.2016-0081 Usefulness of Coil-assisted Technique in Treating Wide-neck Intracranial Aneurysms: Neck-bridge
More informationA New EVAR Device for Infrarenal AAAs
A New EVAR Device for Infrarenal AAAs Peter Nelson, MD, MS Assistant Professor of Surgery MM0203 Rev. 01 Current U.S. EVAR Devices Anatomical Fixation Proximal Fixation Powerlink - Endologix Excluder WL
More informationVISCERAL ANEURYSM MANAGEMENT WHICH ENDOVASCULAR OPTION? PATRICE MWIPATAYI
VISCERAL ANEURYSM MANAGEMENT WHICH ENDOVASCULAR OPTION? PATRICE MWIPATAYI FCS (SA), MMed, FRACS Professor of Vascular surgery Royal Perth Hospital, University of Western Australia, Perth, WA Conflict of
More informationPipeline Embolization Device
Pipeline Embolization Device The power to redefine aneurysm treatment. REDEFINE The Pipeline device redefines treatment for large or giant wide-necked aneurysms by reconstructing the parent artery and
More informationOptimizing Accuracy of Aortic Stent Grafts in Short Necks
Optimizing Accuracy of Aortic Stent Grafts in Short Necks Venkatesh Ramaiah, MD, FACS Medical Director Arizona Heart Hospital Director Peripheral Vascular and Endovascular Research Arizona Heart Institute
More informationFaculty Disclosure. Glue, Particulates, Thrombin, Coils and the Kitchen Sink for Type II Endoleak Management. Background.
Glue, Particulates, Thrombin, Coils and the Kitchen Sink for Type II Endoleak Management Faculty Disclosure I disclose the following financial relationships: UCSF Vascular Symposium 2013 Receive grant/research
More informationEndovascular coiling for cerebral aneurysm: single-center experience in Egypt
Elewa The Egyptian Journal of Neurology, Psychiatry and Neurosurgery (2018) 54:33 https://doi.org/10.1186/s41983-018-0040-0 The Egyptian Journal of Neurology, Psychiatry and Neurosurgery RESEARCH Open
More informationShort-Segment Coil Embolization Using a Double-Balloon Technique in an Experimental Vascular Model
Cardiovasc Intervent Radiol (2017) 40:1255 1260 DOI 10.1007/s00270-017-1589-1 TECHNICAL NOTE Short-Segment Coil Embolization Using a Double-Balloon Technique in an Experimental Vascular Model Daisuke Yunaiyama
More informationTreatment of Unruptured Vertebral Artery Dissecting Aneurysms
33 Treatment of Unruptured Vertebral Artery Dissecting Aneurysms Isao NAITO, M.D., Shin TAKATAMA, M.D., Naoko MIYAMOTO, M.D., Hidetoshi SHIMAGUCHI, M.D., and Tomoyuki IWAI, M.D. Department of Neurosurgery,
More informationEndovascular embolization of intracranial aneurysms
ORIGINAL RESEARCH I. Linfante M.J. DeLeo III M.J. Gounis C.S. Brooks A.K. Wakhloo Cerecyte versus Platinum Coils in the Treatment of Intracranial Aneurysms: Packing Attenuation and Clinical and Angiographic
More informationSANWICH TECHNIQUE TO REDUCE COMPLICATIONS WHEN TREATING BILATERAL INTERNAL ILIAC ARTERY
SANWICH TECHNIQUE TO REDUCE COMPLICATIONS WHEN TREATING BILATERAL INTERNAL ILIAC ARTERY TRAN TRA GIANG.MD Interventional cardiovascular department Hanoi Heart Hospital, Hanoi, Viet Nam Nothing to Disclose
More informationTime-resolved Magnetic Resonance Angiography for assessment of recanalization after coil embolization of visceral artery aneurysms
Signature: Pol J Radiol, 2013; 78(1): 64-68 DOI: 10.12659/PJR.883769 CASE REPORT Received: 2012.09.29 Accepted: 2013.01.15 Time-resolved Magnetic Resonance Angiography for assessment of recanalization
More informationCover stents vs Coilling or in Combination for bail out of Visceral aneurysms
Cover stents vs Coilling or in Combination for bail out of Visceral aneurysms Prof. Furuzan Numan M.D Chief of Interventional Radiology Department Cerrahpasa School of Medicine & Memorial Hospital, ISTANBUL,
More informationLong term follow-up of patients with coiled intracranial aneurysms Sprengers, M.E.S.
UvA-DARE (Digital Academic Repository) Long term follow-up of patients with coiled intracranial aneurysms Sprengers, M.E.S. Link to publication Citation for published version (APA): Sprengers, M. E. S.
More informationTCD AND VASOSPASM SAH
CURRENT TREATMENT FOR CEREBRAL ANEURYSMS TCD AND VASOSPASM SAH Michigan Sonographers Society 2 Nd Annual Fall Vascular Conference Larry N. Raber RVT-RDMS Clinical Manager General Ultrasound-Neurovascular
More informationDetachable coil embolization for aneurysms and arteriovenous malformations in the pelvis: technical points, equipment and procedural details
Detachable coil embolization for aneurysms and arteriovenous malformations in the pelvis: technical points, equipment and procedural details Poster No.: C-2123 Congress: ECR 2011 Type: Educational Exhibit
More informationEndovascular embolization with detachable coils has become
ORIGINAL RESEARCH S. Gallas A.C. Januel A. Pasco J. Drouineau J. Gabrillargues A. Gaston C. Cognard D. Herbreteau Long-Term Follow-Up of 1036 Cerebral Aneurysms Treated by Bare Coils: A Multicentric Cohort
More informationDetection & Treatments
Detection & Treatments Introduction 2 Other Procedures 12 Detection Methods 4 Familial Connection 15 Treatment Options for Brain Aneurysms 5 Clipping Treatment 7 Endovascular Therapy 9 Introduction Discovering
More informationStudying Aneurysm Devices in the Intracranial Neurovasculature
Studying Aneurysm Devices in the Intracranial Neurovasculature The benefits and risks of treating unruptured aneurysms depend on the anatomical location. One approach to studying devices to treat unruptured
More informationAortic Neck Issues Associated Clinical Sequelae/Implications for Graft Choice
Aortic Neck Issues Associated Clinical Sequelae/Implications for Graft Choice Eric Verhoeven, MD, PhD, A. Katsargyris, MD Department of Vascular and Endovascular Surgery, Paracelsus Medical University,
More informationLVIS Intraluminal Stent Device: Separates itself from other stents used in treatments for aneurysm with recent PMA FDA approval
LVIS Intraluminal Stent Device: Separates itself from other stents used in treatments for aneurysm with recent PMA FDA approval 1 What is an aneurysm? A brain aneurysm is a bulging, weak area in the wall
More informationMid-term results from ANCHOR: How does this data influence the treatment algorithm for hostile EVAR anatomies
Mid-term results from ANCHOR: How does this data influence the treatment algorithm for hostile EVAR anatomies Jean-Paul P.M. de Vries Head Department of Surgery, University Medical Centre Groningen The
More informationAneurysm Embolization: Coiling, Stenting, & Flow Diversion
Aneurysm Embolization: Coiling, Stenting, & Flow Diversion Overview Coil embolization is a minimally invasive procedure to treat an aneurysm by filling it with material that closes off the sac and reduces
More informationHigh-Flow, Small-Hole Arteriovenous Fistulas: Treatment with Electrodetachable Coils
High-Flow, Small-Hole Arteriovenous Fistulas: Treatment with Electrodetachable Coils Guido Guglielmi, Fernando Viñuela, Gary Duckwiler, Jacques Dion, and Alfredo Stocker Summary: We present one case of
More informationEndovascular management of visceral artery aneurysms and pseudoaneurysms
Endovascular management of visceral artery aneurysms and pseudoaneurysms Poster No.: C-2321 Congress: ECR 2016 Type: Authors: Keywords: DOI: Scientific Exhibit I. Paladini, C. Marcato, S. Bruni, E. Epifani,
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Medical technology guidance SCOPE Pipeline embolisation device for the treatment of
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Medical technology guidance SCOPE Pipeline embolisation device for the treatment of 1 Technology complex intracranial aneurysms 1.1 Description of
More informationAnatomical challenges in EVAR
Anatomical challenges in EVAR M.H. EL DESSOKI, MD,FRCS PROFESSOR OF VASCULAR SURGERY CAIRO UNIVERSITY Disclosure Speaker name:... I have the following potential conflicts of interest to report: Consulting
More informationWhen to use standard EVAR with EndoAnchors or CHEVAR in short-neck AAAs LINC ASIA 18
When to use standard EVAR with EndoAnchors or CHEVAR in short-neck AAAs JEAN-PAUL P.M. DE VRIES, DIRECTOR OF VASCULAR SURGERY ST.ANTONIUS HOSPITAL NIEUWEGEIN, THE NETHERLANDS. LINC ASIA-PACIFIC HongKong,
More informationAneurysms of the posterior inferior cerebellar artery
ORIGINAL RESEARCH J.P. Peluso W.J. van Rooij M. Sluzewski G.N. Beute C.B. Majoie Posterior Inferior Cerebellar Artery Aneurysms: Incidence, Clinical Presentation, and Outcome of Endovascular Treatment
More informationRole, safety, and efficacy of WEB flow disruption: a review
The ejournal of the European Society of Minimally Invasive Neurological Therapy Role, safety, and efficacy of WEB flow disruption: a review EJMINT Invited Review, 2014: 1419000139 (8 th May 2014) Laurent
More informationTreatment options of late failures of EVAS. Michel Reijnen Rijnstate Arnhem The Netherlands
Treatment options of late failures of EVAS Michel Reijnen Rijnstate Arnhem The Netherlands Disclosure Speaker name: Michel Reijnen I have the following potential conflicts of interest to report: Consulting
More informationWhat You Should Know About Cerebral Aneurysms
American Society of Neuroradiology American Society of Interventional & Therapeutic Neuroradiology What You Should Know About Cerebral Aneurysms From the Cerebrovascular Imaging and Intervention Committee
More informationRuby Coil. Large Volume Detachable Coils
Ruby Coil Ruby Case Examples 38 mm Hepatic Artery Aneurysm Pulmonary AVM 2 Coils Dr. James Benenati Miami Cardiac and Vascular Institute, FL Y90 Embolization Type 2 Endoleak Dr. J Moskovitz Florida Hospital,
More informationORIGINAL PAPER. 8-F balloon guide catheter for embolization of anterior circulation aneurysms: an institutional experience in 152 patients
Nagoya J. Med. Sci. 79. 435 ~ 441, 2017 doi:10.18999/nagjms.79.4.435 ORIGINAL PAPER 8-F balloon guide catheter for embolization of anterior circulation aneurysms: an institutional experience in 152 patients
More informationCase 37 Clinical Presentation
Case 37 73 Clinical Presentation The patient is a 62-year-old woman with gastrointestinal (GI) bleeding. 74 RadCases Interventional Radiology Imaging Findings () Image from a selective digital subtraction
More informationRescue Balloon Reposition of the Protruding Coil Loops during Endovascular Treatment of An Anterior Communicating Artery Aneurysm: A Case Report
Case Report Rescue Balloon Reposition of the Protruding Coil Loops during Endovascular Treatment of An Anterior Communicating Artery Aneurysm: A Case Report Hong Gee Roh, MD 1, Hyun-Seung Kang, MD 2, Pyoung
More informationEndoanchor-assisted TEVAR
Endoanchor-assisted TEVAR May 29, 2015 NCVH2015 Grayson H. Wheatley III, MD Director of Aortic and Endovascular Surgery Associate Professor of Surgery Temple University School of Medicine Disclosures Consultant
More informationAn Overview of Post-EVAR Endoleaks: Imaging Findings and Management. Ravi Shergill BSc Sean A. Kennedy MD Mark O. Baerlocher MD FRCPC
An Overview of Post-EVAR Endoleaks: Imaging Findings and Management Ravi Shergill BSc Sean A. Kennedy MD Mark O. Baerlocher MD FRCPC Disclosure Slide Mark O. Baerlocher: Current: Consultant for Boston
More informationAneurysm Embolization: Coiling
Aneurysm Embolization: Coiling Overview Coil embolization is a minimally invasive procedure to treat an aneurysm by filling it with material that closes off the sac and reduces the risk of rupturing or
More informationUC SF. Disclosures. Thoracic Endovascular Aortic Repair 4/24/2009. Management of Acute Dissections: Is There Still a Role for Open Surgery?
UC SF Management of Acute Dissections: Is There Still a Role for Open Surgery? Darren B. Schneider, M.D. Assistant Professor of Surgery and Radiology Division of Vascular Surgery University of California
More informationWhat's on the Horizon for AAA: Unilateral & Percutaneous, "UP-EVAR" System Zoran Rancic M.D., Ph.D.
What's on the Horizon for AAA: Unilateral & Percutaneous, "UP-EVAR" System Zoran Rancic M.D., Ph.D. Clinic for Cardiovascular Surgery University Hospital Zurich DISCLOSURES COMMON SITUATIONS FOR UNILATERAL
More informationPenumbra, Inc. s embolisation system continues
FEATURED TECHNOLOGY RUBY COIL, POD, POD PACKING COIL, AND LANTERN Ruby Coil and POD System: Tools for Dense and Durable Embolisation BY DR. med. ALEXANDER MASSMANN Penumbra, Inc. s embolisation system
More informationCurrent Status of Endovascular Therapies for Critical Limb Ischemia
Current Status of Endovascular Therapies for Critical Limb Ischemia Bulent Arslan, MD Associate Professor of Radiology Director, Vascular & Interventional Radiology Rush University Medical Center bulent_arslan@rush.edu
More informationChungbuk Regional Cardiovascular Center, Division of Cardiology, Departments of Internal Medicine, Chungbuk National University Hospital Sangmin Kim
Endovascular Procedures for Isolated Common Iliac and Internal Iliac Aneurysm Chungbuk Regional Cardiovascular Center, Division of Cardiology, Departments of Internal Medicine, Chungbuk National University
More informationCT Imaging of Blunt and Penetrating Vascular Trauma DENNIS FOLEY MEDICAL COLLEGE WISCONSIN
CT Imaging of Blunt and Penetrating Vascular Trauma DENNIS FOLEY MEDICAL COLLEGE WISCONSIN THORACO ABDOMINAL TRAUMA 0 10 20 30 40 50 60 5 cc/sec 30 secs 1.25 mm/ 55 mm Z1.375 2.5 mm/ 55 mm Z 1.375 Grade
More informationIndex. average stress 146. see ACIS
Index ACIS (autonomous catheter insertion system) 156, 237 39, 241 49 acute stroke treatment 59, 69, 71 anatomical model 88 aneurismal clipping treatment 106, 110 aneurysm 2 3, 26, 47 50, 52 55, 67 68,
More informationThe Petticoat Technique Managing Type B Dissection with both Early and Long Term Considerations
The Petticoat Technique Managing Type B Dissection with both Early and Long Term Considerations Joseph V. Lombardi, MD Professor & Chief, Division of Vascular & Endovascular Surgery Department of Surgery,
More informationDurability of The Endurant Stent-Graft through 5 Years
Durability of The Endurant Stent-Graft through 5 Years Michel S. Makaroun MD Co-Director, UPMC Heart and Vascular Institute Professor and Chair, Division of Vascular Surgery University of Pittsburgh School
More informationResults of the TRAIL Multicenter, Observational Study. Michel Piotin, Christina Iosif, Charbel Mounayer for the TRAIL Investigator Group
Results of the TRAIL Multicenter, Observational Study Michel Piotin, Christina Iosif, Charbel Mounayer for the TRAIL Investigator Group Xavier Barreau (Bordeaux) Trail Investigators Jacques Sedat, Yves
More informationImproving Endograft Durability with EndoAnchors
Improving Endograft Durability with EndoAnchors William D. Jordan, Jr., M.D. John E. Skandalakis Chair in Surgery Professor and Chief Division of Vascular Surgery and Endovascular Therapy Emory University
More informationConflicts of Interest. When and Why Complex EVAR in Tx of juxta/suprarenal AAA? Summary. Infrarenal EVAR for short necks 2y postop
When and Why Complex EVAR in Tx of juxta/suprarenal AAA? Tim Resch MD Vascular Center Skane University Hospital Conflicts of Interest COOK Medical - Consulting, Speakers Bureau, IP, Research support Medtronic
More informationQuality Metrics. Stroke Related Procedure Outcomes
Quality Metrics Stroke Related Procedure Outcomes Below is a description of some of the stroke-related procedures performed at St. Dominic Hospital in Jackson, with quality information on the complication
More informationAlessandro Della Puppa
Intraoperative measurement of arterial blood flow in complex cerebral aneurysms surgery Studio flussimetrico intra-operatorio nel clipping degli aneurismi complessi Alessandro Della Puppa NEUROSURGERY
More informationClinical Commissioning Policy Statement: Flow Diverting Devices for Intracranial Aneurysms. April Reference : NHSCB/D03/PS/a
Clinical Commissioning Policy Statement: Flow Diverting Devices for Intracranial Aneurysms April 2013 Reference : NHS Commissioning Board Clinical Commissioning Policy Statement: Flow Diverting Devices
More informationMechanical Thrombectomy of Large Vessel Occlusions Using Stent Retriever Devices
Mechanical Thrombectomy of Large Vessel Occlusions Using Stent Retriever Devices Joey English MD, PhD Medical Director, Neurointerventional Services California Pacific Medical Center Hospitals, San Francisco,
More informationEndovascular coil embolization of cerebral aneurysms is now
ORIGINAL RESEARCH INTERVENTIONAL Validation and Initial Application of a Semiautomatic Aneurysm Measurement Software: A Tool for Assessing Volumetric Packing Attenuation H. Takao, T. Ishibashi, T. Saguchi,
More informationEndovascular coil oclusion of spontaneous ruptured vertebral artery dissecting aneurysm
Romanian Neurosurgery Volume XXXI Number 1 2017 January - March Article Endovascular coil oclusion of spontaneous ruptured vertebral artery dissecting aneurysm A. Chiriac, Georgian Ion, N. Dobrin, Z. Faiyad,
More informationTalent Abdominal Stent Graft
Talent Abdominal with THE Xcelerant Hydro Delivery System Expanding the Indications for EVAR Treat More Patients Short Necks The Talent Abdominal is the only FDA-approved device for proximal aortic neck
More informationNow that Endoanchors are Approved (and paid for) We have a Durable Solution to Short Necks That s so Easy!
Now that Endoanchors are Approved (and paid for) We have a Durable Solution to Short Necks That s so Easy! David H. Deaton, MD Vascular Surgery / University of South Carolina / Palmetto Health Chief Medical
More information