Incidence of delivery wire recapture failure with the Pipeline Flex device

Authors

Michael A. Mooney, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Karam Moon, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Bradley A. Gross, Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Andrew F. Ducruet, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.Follow
Felipe C. Albuquerque, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.Follow

Document Type

Article

Abstract

BACKGROUND: The Pipeline Flex embolization device has several advantages over the first-generation Pipeline embolization device (Covidien, Dublin, Republic of Ireland). Despite these advantages, we have observed frequent difficulty in recapturing the device's delivery wire. OBJECTIVE: To prospectively document the incidence of failure to recapture the delivery wire. METHODS: We tracked our experience in patients undergoing endovascular treatment with a flow-diverting stent for cerebral aneurysms between 1 May and 30 September 2016. Patient and lesion characteristics, device dimensions, and technical outcomes of delivery wire recapture were prospectively recorded for each device. RESULTS: Eighteen devices were deployed in 15 patients by the senior author (FCA) during this period. Failure to recapture the delivery wire occurred in 10 of 18 (56%) cases. No adverse outcomes of delivery wire recapture failure were encountered in this series. CONCLUSIONS: The incidence of delivery wire recapture failure with the Pipeline Flex device is high. Failure to recapture the delivery wire carries a theoretical risk of stent displacement when re-navigating across the device, and endovascular surgeons should be aware of this limitation. Authors are encouraged to report delivery wire recapture failure rates in future clinical series in which the Pipeline Flex device is used.

Keywords

Aneurysm, Flow Diverter, Stent, guidewire

Medical Subject Headings

Adult; Aged; Embolization, Therapeutic (instrumentation, methods); Endovascular Procedures (methods); Female; Humans; Incidence; Intracranial Aneurysm (diagnostic imaging, therapy); Male; Middle Aged; Prospective Studies; Stents; Treatment Failure

Publication Date

6-1-2017

Publication Title

Journal of neurointerventional surgery

E-ISSN

1759-8486

Volume

9

Issue

6

First Page

571

Last Page

573

PubMed ID

28100649

Digital Object Identifier (DOI)

10.1136/neurintsurg-2016-012856

Recommended Citation

Mooney, Michael A.; Moon, Karam; Gross, Bradley A.; Ducruet, Andrew F.; and Albuquerque, Felipe C., "Incidence of delivery wire recapture failure with the Pipeline Flex device" (2017). Translational Neuroscience. 2109.
https://scholar.barrowneuro.org/neurobiology/2109