sizing software for cerebral devices - neurovascular exchange
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Sizing software for cerebral devicesWLNC Cases
Mathieu SANCHEZ (PhD), CEO
www.sim-and-cure.com
16/06/2017 Sim&Cure 1
Fusifrom Aneurysm:Pipeline
16/06/2017 Sim&Cure 2
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Very Large Fusiform aneurysm = 4 Telescopic Pipelines (5/35mm)
Major problem = Anchor the Pipeline in Distal and Proximal
Distal Telescopic Pipeline 1
Option 1
Color legend:(vessel cut)
Distal Telescopic Pipeline 1
Option 2
“Individual” view
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Telescopic Pipeline 2 Telescopic Pipeline 3 Telescopic Pipeline 4:
Proximal anchor
“Individual” view
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Combined view
Basilar Tip Aneurysm:WEB vs PulseRider
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WEB SLS 8
Green = Wall Apposition
Red = No Wall Apposition
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WEB SL 8X5
Green = Wall Apposition
Red = No Wall Apposition
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PR 201
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PR 211
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PR 301
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PR 303
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Giant ICA Aneurysm:Pipeline
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Pipeline 3/30 mm
Warning : Due to the
injected drugs the day of
the treatment, we could
observe a dilation of the
artery diameter the day of
the surgery. To validate an
accurate Pipeline sizing is
better to perform a
simulation with the
« fresh » Dicom
(Acquisition on the day of
the intervention)
1 Pipeline 3/30 mm : To obtain a good anchor in proximal and
distal and to be able to start and finish before the curvatureColor legend:(vessel cut)
For information:
Distal vessel diameter: 2.5-2.7 mm
Proximal vessel diameter: 2.8-3 mm
Sim&Size do not provide vessel measurement
Sizing software for cerebral devicesWLNC Cases
Mathieu SANCHEZ (PhD), CEO
www.sim-and-cure.com
16/06/2017 Sim&Cure 15