The Medina Embolic Device: Karolinska experience

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Fältnamn	Indikatorer	Metadata
000		03362naa a2200325 4500
001		oai:prod.swepub.kib.ki.se:137432343
003		SwePub
008		240917s2018 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1374323432 URI
024	7	a https://doi.org/10.1177/15910199177331252 DOI
040		a (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Bhogal, P4 aut
245	1 0	a The Medina Embolic Device: Karolinska experience
264		c 2017-09-28
264	1	b SAGE Publications,c 2018
520		a 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.
700	1	a Brouwer, PA4 aut
700	1	a Yeo, Lu Karolinska Institutet4 aut
700	1	a Svensson, Mu Karolinska Institutet4 aut
700	1	a Soderman, Mu Karolinska Institutet4 aut
710	2	a Karolinska Institutet4 org
773	0	t Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciencesd : SAGE Publicationsg 24:1, s. 4-13q 24:1<4-13x 2385-2011
773	0	t Interventional Neuroradiologyd : SAGE Publicationsg 24:1, s. 4-13q 24:1<4-13x 1591-0199
856	4	u https://europepmc.org/articles/pmc5772534
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:137432343
856	4 8	u https://doi.org/10.1177/1591019917733125

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Av författaren/redakt...: Bhogal, P; Brouwer, PA; Yeo, L; Svensson, M; Soderman, M

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