Animation of LVIS® Jr. Intraluminal Support Device deployment U.S.A.: The LVIS® and LVIS® Jr. devices are indicated for use with neurovascular embolization coils in patients greater than or equal to 18 years of age for the treatment of wide-neck (neck width greater than or equal to 4 mm or dome to neck ratio less than 2) saccular intracranial aneurysms arising from a parent vessel with a diameter greater than or equal to 2.0 mm and less than or equal to 4.5 mm. RX Only: Federal (USA) law restricts this device to sale by or on the order of a physician. This device should be used only by physicians trained in percutaneous, intravascular techniques and procedures at medical facilities with the appropriate fluoroscopy equipment. The LVIS® device should only be used by physicians who have received appropriate training for the device.

Animation of LVIS® Intraluminal Support Device deployment U.S.A.: The LVIS® and LVIS® Jr. devices are indicated for use with neurovascular embolization coils in patients greater than or equal to 18 years of age for the treatment of wide-neck (neck width greater than or equal to 4 mm or dome to neck ratio less than 2) saccular intracranial aneurysms arising from a parent vessel with a diameter greater than or equal to 2.0 mm and less than or equal to 4.5 mm. RX Only: Federal (USA) law restricts this device to sale by or on the order of a physician. This device should be used only by physicians trained in percutaneous, intravascular techniques and procedures at medical facilities with the appropriate fluoroscopy equipment. The LVIS® device should only be used by physicians who have received appropriate training for the device.

Visish M. Srinivasan, MD, Aditya Vedantam, MD, and Peter Kan, MD, MPH Department of Neurosurgery, Baylor College of Medicine, Houston, Texas We present a case of a patient with an anterior communicating artery aneurysm treated by PulseRider-assisted coil embolization. PulseRider is a new device, FDA approved for treatment of broad-necked aneurysms of the basilar apex or internal carotid artery terminus. The aneurysm was broad-necked and involved the anterior communicating artery and was considered for traditional stent-assisted coiling as well as PulseRider-assisted coiling. The authors present the treatment plan and strategy and then fluoroscopic recording of the PulseRider delivery and subsequent coiling phase. Nuances of technique for this new device used in a challenging setting are discussed.

Find out more about the pCONUS Bifurcation Aneurysm Implant here: https://phenox.net/international/pconus-bifurcation-aneurysm-implant/ Hemorrhagic stroke treatment of bifurcation aneurysm with pCONUS Bifurcation Aneurysm Implant. The pCONus is a new category of intraluminal device intended to treat complex, wide neck intracranial bifurcation aneurysms. It is designed to support the coil mass at the level of the neck of those aneurysms that cannot be easily coiled or surgically treated. For information and general inquiries please contact: https://phenox.net/international/contact/

Shervin Dashti, M.D., Ph.D. narrates an animation of an example of a Pipeline embolization device. http://www.nortonhealthcare.com/pipeline

Endovascular (meaning within the blood vessel) embolization, or coiling, uses the natural access to the brain through the bloodstream via arteries to diagnosis and treat brain aneurysms. The goal of the treatment is to safely seal off the aneurysm and stop further blood from entering into the aneurysm and increasing the risk of rupture or possibly rebleeding. A small incision is made over the artery and a needle is used to puncture the blood vessel. A sheath (hollow thin tube) is then placed in the artery, which provides constant access to the artery. This catheter sheath can remain in the artery for 24 to 48 hours after the procedure, so that further interventions can be performed, if necessary. Using a catheter (hollow plastic tube) over a guiding wire, the artery leading to the aneurysm is selected. The wire is removed and the catheter is used to inject a contrast dye into the blood stream in order to visualize the normal blood vessels as well as delineate the aneurysm. The entire process is done using continual x-ray visualization and high-speed radiographic filming techniques. The doctor takes measurements and views of the aneurysm. Once the angiogram has detected the presence, size, and location of the aneurysm, a smaller "micro catheter" is then placed inside the initial catheter. Once the micro catheter is successfully navigated into the aneurysm opening, the coil system is introduced. Platinum coils are deposited into the aneurysm, reducing or blocking the flow of blood into the aneurysm. Once placed inside the aneurysm, a small electrical current is passed through the wire. As a result of this electrolysis, the coil detaches from the wire and remains inside the aneurysm. The wire is removed. It may take several coils to obliterate the aneurysm. In some cases the opening into the aneurysm may be wide, and a balloon or a small stent can be placed inside the blood vessel along the neck of the aneurysm to assist in the coiling procedure. If a balloon is used, it is deflated and removed at the end of the procedure. If a stent is used, it is implanted permanently into the artery, sometimes in a separate procedure, prior to coiling. The stent acts as a scaffold inside the artery to help keep the coils in place inside the aneurysm. After aneurysm packing with coils, the catheter systems are removed and the patient is transferred to the Intensive Care Unit for monitoring and further care.

To learn more about a brain aneurysm, please visit https://cle.clinic/2VB6gVi Aneurysms can hemorrhage or burst, causing a devastating type of stroke that, for one-third of patients, is potentially life-ending, ▶Share this video with others: https://youtu.be/rRklkA70O1w ▶Subscribe to learn more about Cleveland Clinic: https://www.youtube.com/user/ClevelandClinic?sub_confirmation=1 #BrainAneurysm #BrainAneurysmTreatments

A brain aneurysm is a weak area in a blood vessel wall that causes the vessel to bulge or balloon out and sometimes burst.