Article Text

other Versions

PDF
Case series
Initial experience with the PulseRider for the treatment of bifurcation aneurysms: report of first three cases in the USA
  1. Alejandro M Spiotta1,
  2. M Imran Chaudry2,
  3. Aquilla S Turk2,
  4. Raymond D Turner1
  1. 1Department of Neurosciences, Division of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA
  2. 2Department of Radiology and Radiological Sciences, Medical University of South Carolina, Charleston, South Carolina, USA
  1. Correspondence to Dr Alejandro M Spiotta, Department of Neurosciences, Division of Neurosurgery, Medical University of South Carolina, 96 Jonathan Lucas St, MSC 323, Charleston, SC 29425, USA; spiotta{at}musc.edu

Abstract

Introduction The PulseRider is a novel device intended for use in the treatment of aneurysms arising at bifurcations. We present the initial results of the first three cases in the USA employing the PulseRider device.

Methods Aneurysms intended to be treated with the PulseRider device at a single institution were identified prospectively. Aneurysms arising at either the carotid terminus or basilar apex that were relatively broad-necked were considered candidates for treatment with the novel device.

Results Patients were pretreated with dual antiplatelet therapy. All cases were performed under general endotracheal anesthesia. An appropriately sized PulseRider device was deployed across the neck of the aneurysm. A microcatheter was then navigated over a 0.014 inch microwire through the device into the aneurysm. Complete occlusion of the aneurysm was achieved in all cases without intraprocedural complications.

Conclusions We have found in our early experience with the Pulse Rider device that its use is safe and effective as an adjunct in the treatment of bifurcation aneurysms arising at the basilar apex or carotid terminus. As such, it represents a useful addition to the armamentarium of the neuroendovascular specialist.

Keywords
  • Aneurysm
  • coil
  • device
  • stent
  • wide-necked

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.