Usefulness of a new mechanical detachable coil for neurovascular intervention

Kenji Sugiu, A. Katsumata, N. Kusaka, H. Nakashima, T. Ohmoto, D. A. Rüfenacht

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The electrolytically detachable platinum coil (Guglielmi Detachable Coil: GDC) is a safe and efficient endovascular tool for treatment of cerebral aneurysms. However, the GDC still has some problems, including a prolonged detaching time and high cost. The Detach Coil System (DCS) is a newly developed platinum detachable coil for the treatment of neurovascular diseases. This has a mechanical "screw" detachment system, which can be detached faster than the GDC, The platinum coil is mounted to the tip of the delivery wire by the "screw" system. For detaching the coil, 20 - 25 times anti-clockwise rotation of the delivery wire using a "detach locking device" is required. We report our preliminary clinical experience of using the DCS in 11 patients. This series included 5 sacral aneurysms, 3 dissecting aneurysms, and 3 dural arteriovenous fistulas. Seventy-five coils were used in total, of which 5 coils were retrieved and 70 coils were implanted. The detaching time of each DCS was 15 - 20 seconds, which was much faster than that of the GDC. All lesions were successfully treated without symptomatic complications. In the limited number of cases, our result suggest that the DCS allowed safe and fast endovascular treatment of neurovascular disease at a lower cost.

Original languageEnglish
Pages (from-to)933-940
Number of pages8
JournalNeurological Surgery
Volume29
Issue number10
Publication statusPublished - 2001

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Platinum
Central Nervous System Vascular Malformations
Dissecting Aneurysm
Costs and Cost Analysis
Intracranial Aneurysm
Aneurysm
Therapeutics
Equipment and Supplies

Keywords

  • Arteriovenous fistula
  • Cerebral aneurysm
  • Detachable coil
  • Endovascular therapy

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Sugiu, K., Katsumata, A., Kusaka, N., Nakashima, H., Ohmoto, T., & Rüfenacht, D. A. (2001). Usefulness of a new mechanical detachable coil for neurovascular intervention. Neurological Surgery, 29(10), 933-940.

Usefulness of a new mechanical detachable coil for neurovascular intervention. / Sugiu, Kenji; Katsumata, A.; Kusaka, N.; Nakashima, H.; Ohmoto, T.; Rüfenacht, D. A.

In: Neurological Surgery, Vol. 29, No. 10, 2001, p. 933-940.

Research output: Contribution to journalArticle

Sugiu, K, Katsumata, A, Kusaka, N, Nakashima, H, Ohmoto, T & Rüfenacht, DA 2001, 'Usefulness of a new mechanical detachable coil for neurovascular intervention', Neurological Surgery, vol. 29, no. 10, pp. 933-940.
Sugiu K, Katsumata A, Kusaka N, Nakashima H, Ohmoto T, Rüfenacht DA. Usefulness of a new mechanical detachable coil for neurovascular intervention. Neurological Surgery. 2001;29(10):933-940.
Sugiu, Kenji ; Katsumata, A. ; Kusaka, N. ; Nakashima, H. ; Ohmoto, T. ; Rüfenacht, D. A. / Usefulness of a new mechanical detachable coil for neurovascular intervention. In: Neurological Surgery. 2001 ; Vol. 29, No. 10. pp. 933-940.
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