1

Neurovascular Devices and Clinical Applications

COMMUNITY HEALTHCARE SYSTEM

2OutlineProcedure Types

Treatment Options

Common Devices

3Procedure Types

Stroke Aneurysm Embolization

AVM/Fistula Embolization

Carotid Stenosis

Spinal Angiogram

with Embolization

4Stroke

Large Vessel Occlusion Confirmed with NCON/CTA

Cerebral Angiogram w/ Mechanical

Thrombectomy

The process of removing clot or plaque from the

artery.

Restore flow through clot integration

and aspiration or aspiration

alone

Physician preference and lesion location dictate device selection.

5Stroke Pre

6Stroke Post

7

Aneurysm

Coiling

Aneurysm Embolization

Stent Assiste

d Coiling

Balloon

Assisted

Coiling

Flow Diverter

8Balloon Assisted Coiling

9Stent Assisted Coiling

10Flow Diverter

11

Onyx LES Glue Embolization

Detachable Coil Embolization

Embolization w/ Resection

AVM/Fistula Embolization

12Onyx LES Embolization

13

Carotid Stenosis

Cerebral Angio w/ Stent and

Plasty

Cerebral Angio w/

Angioplasty

14Carotid Stent w/PTA

15

Tumor/Fistula Embolization

Spinal Angiogra

m

Diagnostic

Surgical Mapping

16

Common

Stroke Devices

Trevo

Penumbra ACE

Stenttriever w/

Aspiration

Solitaire

17

• Pipeline• FRED• Pipeline

FLEX

• Hyperform• Scepter XC• Transform

• Neuroform • LVIS• Enterprise• Neuroform EZ• LVIS J.R.

• Axium• Target• Hydrogel• 400 Coil

Detachable Coils

Intracranial Stent

Flow DivertersBalloons

Aneurysm Embolization Common

Devices

18

• Endovascular Embolization

• Surgical Resection

• Axium• Target• Hydrogel• 400 Coil

• NBCA• FILL

• Onyx 18• Onyx 34• Marathon • Echelon

Onyx LESGlue

Embolization

Hybrid Approach

Detachable Coils

AVM/Fistula Embolization

Common Devices

19

Detachable Coils

Spinal Angiogra

mCommon Devices

Liquid Embolic Particle

s

Onyx LES18 & 34