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Technical video
Endovascular treatment of wide-neck bifurcation aneurysms: the eCLIPs device
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  1. Arturo Consoli1,2,
  2. Hidehisa Nishi3,
  3. Ange Diouf4,
  4. Guillaume Charbonnier2,5,
  5. André Araújo2,6,
  6. Thomas R Marotta2,7
  1. 1 Diagnostic and Interventional Neuroradiology, Hospital Foch Department of Therapeutic and Interventional Neuroradiology, Suresnes, France
  2. 2 RADIS Laboratory, St Michael's Hospital Li Ka Shing Knowledge Institute, Toronto, Ontario, Canada
  3. 3 Department of Neurosurgery, Division of Surgery, St Michael's Hospital Neurosurgery Service, Toronto, Ontario, Canada
  4. 4 Department of Medical Imaging, St Michael's Hospital Medical Imaging Department, Toronto, Ontario, Canada
  5. 5 Department of Interventional Neuroradiology, Besançon Regional University Hospital Center, Besancon, Bourgogne-Franche-Comté, France
  6. 6 Department of Imagiology, Centro Hospitalar de Vila Nova de Gaia Espinho EPE, Vila Nova de Gaia, Portugal
  7. 7 Department of Interventional Neuroradiology, St Michael's Hospital, Toronto, Ontario, Canada
  1. Correspondence to Dr Arturo Consoli, Diagnostic and Interventional Neuroradiology, Hospital Foch Department of Therapeutic and Interventional Neuroradiology, Suresnes, France; onemed21{at}gmail.com

Abstract

The endovascular clip system device, eCLIPs (eVasc, Vancouver, British Columbia, Canada), was introduced almost a decade ago for the treatment of wide-neck bifurcation aneurysms,1–3 which represent a challenge for both endovascular and surgical approaches. Several techniques and devices (intrasaccular or intra-arterial) have been introduced and are currently available in order to improve the technical and clinical outcomes of aneurysm embolization. Flow diversion and flow disruption have shown controversial results in this subtype of aneurysm. In this video we present the use of the eCLIPs device to treat a ruptured, wide-neck aneurysm of the top of the basilar artery. The decisional approach, technical details, and the different steps of the endovascular treatment are described. The final part of the video is dedicated to the characteristics of the device for re-endothelialization4 and flow diversion (video 1).5

Video 1  
  • Aneurysm
  • Device

https://doi.org/10.1136/jnis-2023-020442

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    Footnotes

    • Twitter @gcharbonnier

    • Contributors TRM and AC made substantial contributions to the conception or design of the work; AC and AA were involved in the acquisition, analysis, and interpretation of data for the work; AC, AA, HN, AD, and GC were involved in drafting the work or revising it critically for important intellectual content. All the authors gave final approval of the version to be published and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests TRM is a financial stakeholder in eVASC Neurovascular, consultant and proctor for eCLIPs.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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