Patient no | Aneurysm location | Aneurysm shape | Number of MEDs | Initial result (mRRC) | Complications | Follow-up | Follow-up result | Repeat/adjunctive treatment |
---|---|---|---|---|---|---|---|---|
1 | Right ICA cavernous segment | Spherical | 2×MED framing, 7×MED filling | IIIb | None | 2 days | Complete exclusion | None |
2 | AcomA | Spherical | Attempted MED—failed to detach; reverted to coiling | I | Coil embolization and stroke | N/A | ||
3 | ICA bifurcation | Beehive | 1×MED framing, 6×MED filling | II | None | N/A | pCONus to protect neck | |
4 | AcomA | Beehive | 1×MED framing, 1×MED filling | IIIb | None | N/A | ||
5 | Distal basilar sidewall | Spherical | 1×MED framing 2×MED filling | IIIa | None | 1 month | Stable | |
6 | Right MCA bifurcation | Conical | 2×MED framing, 3×MED filling coil, 2×helical fiber coils | II | None | 1 month | Stable neck residual | Carotid stent for ulcerated plaque |
7 | Left PcomA | Spherical/oblong | 1×MED framing, 2×MED filling | II | None | 1 month | Stable neck residual | ICA p64, follow-up 2 months after flow diverter showing reduction in size of neck remnant |
8 | Right MCA bifurcation | Beehive, vessels arising from neck | 1×MED framing | IIIb | None | 2 months | Enlarging neck remnant | pCONus to protect neck |
9 | Left supraclinoid ICA | Wide necked, conical | 4×MED framing, 1×MED filling, 1×standard coil | IIIb | Multiple small DWI lesions bilaterally and right hemiparesis | 7 months | Complete exclusion | p64 |
9 | Right supraclinoid | Multi lobular | 1×MED framing | IIIa | 7 months | Complete exclusion | p64 | |
10 | Right paraophthalmic | Oblong, wide neck | 1×MED framing | IIIb | None | 2 months | Fundus excluded, neck residual | p64 to treat neck |
11 | Left MCA bifurcation | Beehive | 1×MED framing, 1×helical fiber coil | II | None | 1 month | Stable neck residual | Single helical coil inside MED framing coil |
12 | Right cavernous | Spherical | 1×MED framing, 3×MED filling | Stasis in the aneurysm | None | N/A | 2× p64 | |
13 | Basilar tip | Spherical | 1×MED framing, 3×MED filling, 6×standard helical coils | IIIa | None | N/A | pCONus to protect neck | |
14 | Right paraophthalmic | Spherical | 1×MED framing | Stasis in the aneurysm | In-stent thrombosis secondary to inadequate antiplatelet effect | 2 months | Complete exclusion | p64 to treat second blister aneurysm |
15 | Right paraophthalmic | Oblong, multilobulated | 1×MED framing, 2×MED filling | II | None | 2 weeks | Stable neck residual | p64 |
AcomA, anterior communicating artery; ICA, internal carotid artery; MCA, middle cerebral artery; MED, Medina Embolic Device; mRRC, modified Raymond-Roy classification; PcomA, posterior communicating artery.