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How to use the Artisse intrasaccular device.

Jeremy Lynch¹, Shariq Mohd², Shrikant Londhe²

¹Department of Neuroradiology, King's College Hospital, London, UK jeremy.lynch@gmail.com.

Journal of Neurointerventional Surgery

|January 3, 2025

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eCLIPs treatment of intrasaccular device recurrences in wide neck bifurcation aneurysms: multicenter experience with the new generation device.

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The second-generation Artisse device offers a novel intrasaccular approach for treating wide-necked and bifurcation aneurysms. This modified dual-layer mesh basket aims to improve aneurysm treatment outcomes.

Area of Science:

Neurosurgery
Endovascular techniques
Medical device technology

Background:

Intrasaccular flow disruption is an established treatment for wide-necked and bifurcation aneurysms.
Current leading devices include the WEB (Microvention) and Contour (Stryker).
The Artisse device by Medtronic is a novel intrasaccular option for diverse aneurysm morphologies.

Purpose of the Study:

To discuss the second-generation Artisse intrasaccular device.
To highlight modifications and features of the current Artisse device.
To illustrate the device's application in treating a middle cerebral artery aneurysm.

Main Methods:

Discussion of the second-generation Artisse device features: dual-layer 72-wire mesh basket, atraumatic off-center distal tip, proximal and distal marker bands.

Keywords:

Aneurysm Angiography Coil Hemorrhage Subarachnoid

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Description of deployment via a 0.021-inch microcatheter.

Presentation of an illustrative case of a middle cerebral artery aneurysm.

Main Results:

The second-generation Artisse device has a dual-layer mesh basket with an atraumatic tip for aneurysm dome protection.
Enhanced visibility is provided by proximal and distal marker bands.
Limited device sizes are currently available compared to competitors like the WEB.

Conclusions:

The second-generation Artisse device represents a significant modification of the initial design.
The device is designed for treating various aneurysm types, including wide-necked and bifurcation cases.
Further clinical evaluation and comparison with existing devices are implied.