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Transcript of Neurovascular Devices and Clinical ApplicationsNEW [Autosaved]
1
Neurovascular Devices and Clinical Applications
COMMUNITY HEALTHCARE SYSTEM
2OutlineProcedure Types
Treatment Options
Common Devices
3Procedure Types
Stroke Aneurysm Embolization
AVM/Fistula Embolization
Carotid Stenosis
Spinal Angiogram
with Embolization
4Stroke
Large Vessel Occlusion Confirmed with NCON/CTA
Cerebral Angiogram w/ Mechanical
Thrombectomy
The process of removing clot or plaque from the
artery.
Restore flow through clot integration
and aspiration or aspiration
alone
Physician preference and lesion location dictate device selection.
5Stroke Pre
6Stroke Post
7
Aneurysm
Coiling
Aneurysm Embolization
Stent Assiste
d Coiling
Balloon
Assisted
Coiling
Flow Diverter
8Balloon Assisted Coiling
9Stent Assisted Coiling
10Flow Diverter
11
Onyx LES Glue Embolization
Detachable Coil Embolization
Embolization w/ Resection
AVM/Fistula Embolization
12Onyx LES Embolization
13
Carotid Stenosis
Cerebral Angio w/ Stent and
Plasty
Cerebral Angio w/
Angioplasty
14Carotid Stent w/PTA
15
Tumor/Fistula Embolization
Spinal Angiogra
m
Diagnostic
Surgical Mapping
16
Common
Stroke Devices
Trevo
Penumbra ACE
Stenttriever w/
Aspiration
Solitaire
17
• Pipeline• FRED• Pipeline
FLEX
• Hyperform• Scepter XC• Transform
• Neuroform • LVIS• Enterprise• Neuroform EZ• LVIS J.R.
• Axium• Target• Hydrogel• 400 Coil
Detachable Coils
Intracranial Stent
Flow DivertersBalloons
Aneurysm Embolization Common
Devices
18
• Endovascular Embolization
• Surgical Resection
• Axium• Target• Hydrogel• 400 Coil
• NBCA• FILL
• Onyx 18• Onyx 34• Marathon • Echelon
Onyx LESGlue
Embolization
Hybrid Approach
Detachable Coils
AVM/Fistula Embolization
Common Devices
19
Detachable Coils
Spinal Angiogra
mCommon Devices
Liquid Embolic Particle
s
Onyx LES18 & 34