Introduction: Intracranial saccular aneurysms, if untreated, carry a high risk of morbidity and mortality from intracranial bleeding. Embolization coils are the most common treatment. We detail the initial human experience with the novel, next generation Medina Coil System.
Methods: The Medina coil is a layered, three-dimensional coil made from a radiopaque, shape-set core wire and shape memory alloy outer coil filaments (see image). Four aneurysms in 2 patients were selected for treatment with the Medina coil system.
Results: Two middle cerebral aneurysms (5mm and 8mm diameter) were treated with one Medina coil and three Medina coils respectively. A basilar tip (5mm x 12mm) aneurysm was treated with 4 Medina coils and one conventional finishing coil. A carotid terminus (5mm) aneurysm was treated with one Medina coil. All aneurysms were successfully treated without technical or procedural complications. Angiographic follow up will be obtained prior to the conference and presented.
Conclusions: The Initial human experience with the novel Medina coil yielded excellent angiographic results with a high degree of safety using significantly fewer devices than traditional coil technology.
Patient Care: Identify to physicians the next generation technology for treating cerebral aneurysms.
Learning Objectives: By the conclusion of this session, participants should be able to 1. understand the design and method of the three dimensional coil design, and 2. realize the advantages of the 3D coil design in treating aneurysms.