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Technical Note
INTERVENTIONAL

Increasing the Packing of Small Aneurysms with Complex-Shaped Coils: An In Vitro Study

Michel Piotina, Akira Iijimaa, Hajime Wadaa and Jacques Moreta

a From the Department of Interventional Neuroradiology, Fondation Rothschild, Paris, France

Address correspondence and reprint requests to Jacques Moret, M.D., Service de Neuroradiologie Interventionnelle, Hôpital de la Fondation Ophtalmologique Adolphe de Rothschild, 75940 Paris Cedex 19, France

Summary: Nine embolization experiments of a silicone aneurysm model were conducted by using helical and complex-shaped coils. Coils were introduced up to the point when the adjunct of a supplementary coil caused protrusion into the parent vessel. Packing ratios (volume of coils-aneurysm volume) ranged between 31% and 38%. Optimal packing was achieved with complex-shaped coils used in a concentric fashion. The complex-shaped coils allowed a better aneurysm filling than did helical coils.




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