AJDRAJNR - American Journal of Neuroradiology

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Analysis of Complex Framing Coil Stability in a Wide-Necked Aneurysm Model

P.E. Schloessera, R.S. Pakbazb, D.I. Levyb, S.G. Imbesic, W.H. Wongc and C.W. Kerberc

a Department of Radiology, Division of Neuroradiology, LDS Hospital, Salt Lake City, Utah
b Departments of Neuroradiology and Neurosurgery, Division of Neuroradiology, Kaiser Permanente Medical, Center, San Diego, Calif
c Department of Radiology, Division of Neuroradiology, University of California San Diego Medical Center, San Diego, Calif


Figure 1
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Fig 1. The wide-necked aneurysm replica. Photograph (top) and radiograph (bottom) show the wide-necked (SNR 1.34) sidewall aneurysm (far left on both images) used in the study. The model was placed in a circuit of pulsatile fluid with flow direction from right to left.


Figure 2
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Fig 2. Stable 0.010-inch coil configuration within the wide-necked aneurysm replica after detachment.


Figure 3
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Fig 3. A 0.010-inch coil within the replica at increasing flow rates (280, 360, and 420 mL/min, from left to right). Greater coil prolapse into the parent vessel was demonstrated with increasing flow rate.


Figure 4
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Fig 4. A 0.018-inch coil within the replica at increasing flow rates (280, 360, and 420 mL/min, from left to right). No significant coil prolapse was demonstrated with increasing flow rate.