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Endosaccular flow disruption: where are we now?
Pervinder Bhogal1, Sundip Udani2, Christophe Cognard3
1Department of Interventional Neuroradiology, The Royal London Hospital, London, UK.
Journal of Neurointerventional Surgery
|June 15, 2019
Summary
Endosaccular flow disruption offers a new approach for treating wide-necked brain aneurysms. This article reviews four CE-marked devices, including the Woven EndoBridge (WEB), used for intracranial aneurysm treatment.
Area of Science:
- Neurosurgery
- Endovascular techniques
- Medical device technology
Background:
- Wide-necked complex intracranial aneurysms pose treatment challenges.
- Endosaccular flow disruption is an emerging endovascular strategy.
- Several devices are available in Europe, each with unique designs.
Purpose of the Study:
- To provide an overview of CE-marked endosaccular flow disruption devices.
- To summarize existing literature on their use for intracranial aneurysms.
- To assess the current evidence for these innovative treatments.
Main Methods:
- Literature review of studies on endosaccular flow disruption devices.
- Inclusion of devices with CE mark for European use.
- Focus on treatment of intracranial aneurysms.
Main Results:
- Four devices (WEB, Luna, Medina, Contour) are CE-marked.
- Evidence synthesis from published studies is presented.
- Overview covers device characteristics and clinical outcomes.
Conclusions:
- Endosaccular flow disruption represents an innovative treatment option.
- Further research and data are needed to fully establish efficacy.
- These devices offer new possibilities for complex aneurysm management.
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