Introduction: To evaluate the safety and efficacy in the treatment of intracranial aneurysms with a new coil “Barricade”, with mid-term F-up.
Methods: Between June 2013 and July 2014, 26 patients (Female: 16) with 27 aneurysms underwent endovascular treatment using Barricade Coils (Framing coils, Filling and Finishing coils were used). All patients presented SAH. Aneurysms location were: PcomA (n:11), AcomA (n:9), ICA bifurcation (n:2), Basilar tip (1). MCA (1), AchA (n:1), Pericalloso (n:1) and SCA (n:1). 24 aneurysms were small and the others big.
Results: All procedures were performed without any technical complications. A total of 131 coils were implanted and deployed successfully (mean time to detach: 4-6 sec). Immediately total occlusion occurred in 23 aneurysms, 6 aneurysms required stent assistance due to wide neck. Mid-Term follow up (6 months: range 6 to 11 months) was performed in 24 aneurysms showing total occlusion in 20 of them and neck remnant in the others.
Conclusions: Barricade coils proved to be safe and effective to treat intracranial aneurysms with a predictable behavior. Long term follow up will be needed to show long term efficacy.
Patient Care: This new coil show a predictable behavior in challenging aneurysm as week as in re-treatment embolization
Learning Objectives: Behavior of new barricade coil in brain aneurysm treatment