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New Pipeline Flex device: initial experience and technical nuances.

Vitor Mendes Pereira1, Michael Kelly2, Pedro Vega3

  • 1Interventional Neuroradiology Unit, Service of Neuroradiology, University Hospitals of Geneva, Geneva, Switzerland Division of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada Division of Neurosurgery, Department of Surgery, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.

Journal of Neurointerventional Surgery
|October 5, 2014
PubMed
Summary
This summary is machine-generated.

The new Pipeline Flex flow diverter stent offers improved deployment for intracranial aneurysms. This enhanced device facilitates endovascular treatment, representing a significant advancement in neurovascular care.

Keywords:
AneurysmFlow DiverterStentTechniqueTechnology

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Area of Science:

  • Neuroendovascular surgery
  • Medical device technology
  • Cerebrovascular disease

Background:

  • Flow diverter stents (FDS) are a breakthrough treatment for intracranial aneurysms.
  • The Pipeline device is a widely used FDS with established long-term outcomes.

Purpose of the Study:

  • To evaluate the initial clinical experience with the Pipeline Flex device, a new iteration of the Pipeline FDS.
  • To assess the impact of the redesigned delivery system on FDS implantation.

Main Methods:

  • A technical report detailing the implantation of 12 devices (11 Pipeline Flex, 1 Pipeline) in 10 patients with 12 anterior circulation saccular aneurysms.
  • Focus on modifications to the delivery system, immediate procedural outcomes, and technical considerations.

Main Results:

  • Successful implantation of all 12 devices without complications.
  • The redesigned delivery system facilitated device deployment, with resheathing used in half of the cases.
  • Two transient neurological events occurred, with full recovery before discharge.

Conclusions:

  • The Pipeline Flex device represents a significant advancement in FDS technology.
  • The modified delivery system enhances the ease and safety of Pipeline stent deployment.
  • This device has the potential to further revolutionize endovascular treatment for intracranial aneurysms.