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- Bhogal, P (author)
The Medina Embolic Device: Karolinska experience
- Article/chapterEnglish2018
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- 2017-09-28
- SAGE Publications,2018
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- LIBRIS-ID:oai:prod.swepub.kib.ki.se:137432343
- http://kipublications.ki.se/Default.aspx?queryparsed=id:137432343URI
- https://doi.org/10.1177/1591019917733125DOI
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- Language:English
- Summary in:English
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- The aim of this study was to report our single centre experience with the Medina Embolic Device (MED). Methods We performed a retrospective analysis of prospectively collected data to identify all patients treated with the MED. A total of 14 aneurysms (non-consecutive), in 13 patients, were treated including one ruptured and one partially thrombosed aneurysm. Fundus diameter was ≥5 mm in all cases. We evaluated the angiographic appearances, the clinical status, complications, and the need for adjunctive devices or repeat treatments. Results Aneurysm location was cavernous internal carotid artery (ICA; n = 1), supraclinoid ICA ( n = 1), terminal ICA ( n = 2), anterior communicating artery (AComA; n = 4), A2–3 ( n = 1), M1–2 junction ( n = 1), posterior communicating artery (PComA; n = 1), superior cerebellar artery (SCA; n = 1), and basilar tip ( n = 2). The average aneurysm fundus size was 8.6 mm (range 7–10 mm) and average neck size 3.75 mm (range 1.9–6.9 mm). Immediate angiographic results were modified Raymond–Roy occlusion classification (mRRC) I n = 2, mRRC II n = 1, mRRC IIIa n = 2, mRRC IIIb n = 2, the remaining 7 aneurysms showed complete opacification. At follow-up angiography (mean 5 months) mRRC I n = 5, mRRC II n = 5, mRRC IIIa n = 3, and persistent filling was seen in 1 aneurysm. Overall, four patients had repeat treatment and one is pending further treatment. Of the aneurysms treated with more than one MED, 75% showed complete occlusion at 6-month follow up whereas only one aneurysm treated with a single device showed complete occlusion. Overall, three patients had temporary complications and there were no deaths. Conclusions The MED is an intra-saccular flow-diverting device with satisfactory angiographic results and an acceptable safety profile. Use of a single MED cannot be recommended and further longer term studies are needed prior to widespread clinical use.
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- Brouwer, PA (author)
- Yeo, LKarolinska Institutet (author)
- Svensson, MKarolinska Institutet (author)
- Soderman, MKarolinska Institutet (author)
- Karolinska Institutet (creator_code:org_t)
Related titles
- In:Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences: SAGE Publications24:1, s. 4-132385-2011
- In:Interventional Neuroradiology: SAGE Publications24:1, s. 4-131591-0199
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