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OtherINTERVENTIONAL

Aneurysm Packing with HydroCoil Embolic System versus Platinum Coils: Initial Clinical Experience

Harry J. Cloft and David F. Kallmes
American Journal of Neuroradiology January 2004, 25 (1) 60-62;
Harry J. Cloft
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David F. Kallmes
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    Fig 1.

    Hybrid hydrogel-platinum coil device. Left, Bare platinum coil. Middle, Prehydration image, showing initial profile of the device. Highly compact hydrogel material is wrapped around a platinum coil. An outer “overcoil” is wrapped around the hydrogel-covered coil. The outer diameter of the coil is 0.008 inch. The thickness of the hydrogel is approximately 0.0005 inch, such that the outer diameter of the gel covering is 0.009 inch. With the overcoil, the outer diameter is 0.013 inch. Right, Posthydration image of the device, showing marked expansion of the hydrogel material, which has become translucent. The radial thickness of the expanded hydrogel is approximately 0.009 inch, such that the total outer diameter of the hydrated device is 0.027 inch.

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    Fig 2.

    Scatter diagram of percent total occlusion of 11 aneurysms treated with platinum coils and 11 aneurysms treated with HES coils.

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    TABLE 1:

    Comparison of aneurysms treated with adjunctive HydroCoil Embolization System (HES) vs. platinum coils alone

    PatientAneurysm volume (ml)% fill total% fill HES# HES coils# platinum coils#coils/aneurysm# coils/ml
    HES 10.063664113463
    HES 20.042766211248
    HES 30.0298763123103
    HES 40.174877442634
    HES 50.063917121348
    HES 60.113452315653
    HES 70.094552713443
    HES 80.167564423530
    HES 90.092725623554
    HES 100.026887211277
    HES 110.059857621351
    Mean0.08473551.62.33.955
    Platinum 10.065346692
    Platinum 20.0424477167
    Platinum 30.034273388
    Platinum 40.0314855161
    Platinum 50.092184443
    Platinum 60.079424451
    Platinum 70.113316653
    Platinum 80.236234417
    Platinum 90.065224462
    Platinum 100.079215563
    Platinum 110.038383379
    Mean0.079324.64.680
    P value.85.0001.23.12
    • Note.—% fill total, percentage of aneurysm volume filled by embolic devices; % fill HES, percentage of aneurysm volume filled by HES coils; # coils/mL, number of coils per milliliter of aneurysm volume.

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American Journal of Neuroradiology: 25 (1)
American Journal of Neuroradiology
Vol. 25, Issue 1
1 Jan 2004
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Harry J. Cloft, David F. Kallmes
Aneurysm Packing with HydroCoil Embolic System versus Platinum Coils: Initial Clinical Experience
American Journal of Neuroradiology Jan 2004, 25 (1) 60-62;

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Aneurysm Packing with HydroCoil Embolic System versus Platinum Coils: Initial Clinical Experience
Harry J. Cloft, David F. Kallmes
American Journal of Neuroradiology Jan 2004, 25 (1) 60-62;
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  • GEL THE NEC: a prospective registry evaluating the safety, ease of use, and efficacy of the HydroSoft coil as a finishing device
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  • HydroCoils Are Associated with Lower Angiographic Recurrence Rates Than Are Bare Platinum Coils in Treatment of "Difficult-to-Treat" Aneurysms: A Post Hoc Subgroup Analysis of the HELPS Trial
  • HydroCoils Reduce Recurrence Rates in Recently Ruptured Medium-Sized Intracranial Aneurysms: A Subgroup Analysis of the HELPS Trial
  • Coil Type Does Not Affect Angiographic Follow-Up Outcomes of Cerebral Aneurysm Coiling: A Systematic Review and Meta-Analysis
  • The next generation HydroCoil: initial clinical experience with the HydroFill embolic coil
  • Review of 2 Decades of Aneurysm-Recurrence Literature, Part 1: Reducing Recurrence after Endovascular Coiling
  • Mathematic Analysis of Incremental Packing Density with Detachable Coils: Does That Last Coil Matter Much?
  • HydroCoils, Occlusion Rates, and Outcomes: A Large Single-Center Study
  • Angiographic and Clinical Outcomes in 200 Consecutive Patients with Cerebral Aneurysm Treated with Hydrogel-Coated Coils
  • Angiographic and Histologic Comparison of Experimental Aneurysms Embolized with Hydrogel Filaments
  • Computerized Assessment of Angiographic Occlusion Rate and Coil Density in Embolized Human Cerebral Aneurysms
  • Endovascular Coiling of Cerebral Aneurysms Using "Bioactive" or Coated-Coil Technologies: A Systematic Review of the Literature
  • Embolization of Intracranial Aneurysms With Hydrogel-Coated Coils Versus Inert Platinum Coils: Effects on Packing Density, Coil Length and Quantity, Procedure Performance, Cost, Length of Hospital Stay, and Durability of Therapy
  • Rates of Delayed Rebleeding From Intracranial Aneurysms Are Low After Surgical and Endovascular Treatment
  • Matrix Detachable Coils for the Endovascular Treatment of Intracranial Aneurysms: Analysis of Early Angiographic and Clinical Outcomes
  • Stroke Review: Advances in Interventional Neuroradiology 2004
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