Endosaccular flow disruption: where are we now?

Pervinder Bhogal; Sundip Udani; Christophe Cognard; Michel Piotin; Patrick Brouwer; Nader-Antoine Sourour; Tommy Andersson; Levansri Makalanda; Ken Wong; David Fiorella; Adam S Arthur; Leonard Ll Yeo; Michael Soderman; Hans Henkes; Laurent Pierot

doi:10.1136/neurintsurg-2018-014623

Endosaccular flow disruption: where are we now?

J Neurointerv Surg. 2019 Oct;11(10):1024-1025. doi: 10.1136/neurintsurg-2018-014623. Epub 2019 Jun 13.

Authors

Pervinder Bhogal¹, Sundip Udani², Christophe Cognard³, Michel Piotin⁴, Patrick Brouwer⁵, Nader-Antoine Sourour⁶, Tommy Andersson⁵, Levansri Makalanda¹, Ken Wong¹, David Fiorella^{7

8}, Adam S Arthur⁹, Leonard Ll Yeo¹⁰, Michael Soderman^{5

11}, Hans Henkes¹², Laurent Pierot¹³

Affiliations

¹ Department of Interventional Neuroradiology, The Royal London Hospital, London, UK.
² Department of Neuroradiology, The Royal London Hospital, London, UK.
³ Diagnostic and Therapeutic Neuroradiology, Hôpital Purpan, Toulouse, France.
⁴ Department of Interventional Neuroradiology, Fondation Rothschild Hospital, Paris, France.
⁵ Neuroradiology, Karolinska Universitetssjukhuset, Stockholm, Sweden.
⁶ Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France.
⁷ Department of Neurosurgery, Stony Brook University, Stony Brook, New York, USA.
⁸ SUNY SB, New York City, New York, USA.
⁹ UT Dept Neurosurgery/Semmes-Murphey Clinic, Memphis, Tennessee, USA.
¹⁰ NUHS, Singapore, Singapore.
¹¹ Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
¹² Klinik für Neuroradiologie, Klinikum Stuttgart, Stuttgart, Germany.
¹³ Radiology, University Hospital Reims, Reims, France.

PMID: 31197026
DOI: 10.1136/neurintsurg-2018-014623

Abstract

Endosaccular flow disruption is an innovative method of treating wide-necked complex aneurysms. Currently four types of devices have obtained the CE mark for use within Europe. These are the Woven EndoBridge device (WEB), the Luna Aneurysm Embolization System, the Medina Embolic Device (Medtronic), and the Contour Neurovascular System. The aim of this article is to provide an overview of these devices and to summarize the evidence in the literature pertaining to the treatment of intracranial aneurysms with them.

Keywords: LUNA AES; MED; WEB; contour; flow disruption.

Publication types

Review

MeSH terms

Aneurysm / diagnostic imaging*
Aneurysm / surgery*
Drug Delivery Systems / methods
Drug Delivery Systems / standards
Embolization, Therapeutic / instrumentation
Embolization, Therapeutic / standards
Endovascular Procedures / instrumentation*
Endovascular Procedures / standards*
Europe
Humans
Intracranial Aneurysm / diagnostic imaging
Intracranial Aneurysm / surgery
Prosthesis Design / standards*
Treatment Outcome