Literature DB >> 20403951

Influence of coil geometry on intra-aneurysmal packing density: evaluation of a new primary wind technology.

Iris Quasar Grunwald1, Andrew Molyneux, Anna Luisa Kühn, Dave Watson, James V Byrne.   

Abstract

INTRODUCTION: This prospective randomized double-blinded in-vitro study was conducted to determine the relative Packing Density (PD) of the new Deltapaq coil (Micrus Endovascular) as compared to Micrus's conventional filling CHE (Helipaq) and finishing CFS (Ultipaq) coils.
METHODS: Two physicians independently deployed the coils under fluoroscopy into a 4mm berry shaped glass aneurysm. Each coil tested was a 4mm x 35cm coil specially made for this study. Physicians and observer were blinded as to the type of coil. Five samples per group, per operator, were deployed.
RESULTS: mean PD were 36.6% (Helipaq), 37.9% (Ultipaq) and 40.4% (Deltapaq). Two-sample T-test showed a significantly higher PD of Deltapaq versus Helipaq (p < 0.022). DISCUSSION: Higher coil PD and better neck coverage may provide an increased biomechanical stability and may potentially reduce the recanalization rate of aneurysms.
CONCLUSION: The new Deltapaq coil may have the potential to achieve higher packing densities in the treatment of aneurysms.

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Mesh:

Year:  2010        PMID: 20403951     DOI: 10.1177/1538574410363916

Source DB:  PubMed          Journal:  Vasc Endovascular Surg        ISSN: 1538-5744            Impact factor:   1.089


  6 in total

Review 1.  Review of 2 decades of aneurysm-recurrence literature, part 1: reducing recurrence after endovascular coiling.

Authors:  E Crobeddu; G Lanzino; D F Kallmes; H J Cloft
Journal:  AJNR Am J Neuroradiol       Date:  2012-03-15       Impact factor: 3.825

2.  Endovascular treatment of aneurysms and platinum coil caliber: Study protocol of a randomized, controlled trial.

Authors:  Jimmy Ghostine; Naim Khoury; Francis Cloutier; Marc Kotowski; Jean-Christophe Gentric; André L Batista; Alain Weill; Daniel Roy; Tim E Darsaut; Jean Raymond
Journal:  Interv Neuroradiol       Date:  2016-08-16       Impact factor: 1.610

3.  Embolization with larger-caliber coils can increase packing density: Evidence from the pilot phase of a randomized trial.

Authors:  Francis Cloutier; Naim Khoury; Jimmy Ghostine; Behzad Farzin; Marc Kotowski; Alain Weill; Daniel Roy; Jean Raymond
Journal:  Interv Neuroradiol       Date:  2016-10-22       Impact factor: 1.610

4.  Effects of anatomic characteristics of aneurysms on packing density in endovascular coil embolization: analysis of a single center's experience.

Authors:  Akiyo Sadato; Kazuhide Adachi; Motoharu Hayakawa; Yoko Kato; Yuichi Hirose
Journal:  Neurosurg Rev       Date:  2015-07-31       Impact factor: 3.042

5.  Does Increasing Packing Density Using Larger Caliber Coils Improve Angiographic Results of Embolization of Intracranial Aneurysms at 1 Year: A Randomized Trial.

Authors:  J Raymond; J Ghostine; B A van Adel; J J S Shankar; D Iancu; A P Mitha; P Kvamme; R D Turner; A Turk; V Mendes-Pereira; J S Carpenter; S Boo; A Evans; H H Woo; D Fiorella; A Alaraj; D Roy; A Weill; P Lavoie; M Chagnon; T N Nguyen; J L Rempel; T E Darsaut
Journal:  AJNR Am J Neuroradiol       Date:  2020-01-02       Impact factor: 3.825

6.  Large Residual Volume, Not Low Packing Density, Is the Most Influential Risk Factor for Recanalization after Coil Embolization of Cerebral Aneurysms.

Authors:  Akiyo Sadato; Motoharu Hayakawa; Kazuhide Adachi; Ichiro Nakahara; Yuichi Hirose
Journal:  PLoS One       Date:  2016-05-06       Impact factor: 3.240

  6 in total

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