Occlusion Device as a Novel Tool for Carotid Sacrifice

Corey Teigen, MD
•Consultant/Advisory Board: Cordis
Methods
• 8 pig common carotid arteries sacrificed
• All vessels embolized with a single POD
• Intermittent follow-up angiography performed to
assess flow
POD™
• Peripheral Occlusion Device (POD™)
• Designed specifically to occlude vessels
POD™
• High Flow Microcatheter Compatible
• Designed to treat 3.25 mm – 8 mm Vessels
POD™
POD™
Product Code
Length
Target Vessel
Anchor Segment
Diameter
Packing Segment
Length
POD4
RBYPOD4
30 cm
3.25 -4 mm
4 mm
26 cm
POD5
RBYPOD5
30 cm
4-5 mm
5 mm
25 cm
POD6
RBYPOD6
50 cm
5-6 mm
6 mm
42 cm
POD8
RBYPOD8
60 cm
6-8 mm
8 mm
49 cm
Anchor Segment
Double SR Wire
Packing Segment
Soft Single SR Wire
POD™ Anchor Segment
Larger Diameter
Packing Segment has
Softer + Smaller Diameter
POD™ Anchoring
POD™ 4
4 mm Coil
Click to play
Click to play
4 mm non-tapered glass tube with flow
POD4 Deployment
Post Angio
Coiling
Click to play
Click to play
Results Summary
% Vessels Occluded in one POD4
Time to Angiographic Verification of
Occlusion (min)
100% (8/8)
2-15
Max repositions necessary
2
Max time to final deployment (min)
<1
Coil Mass Length Range (mm)
12.5 - 31.1
Device Related Complications
None
Results
“Once the anchor zone was stable,
no distal migrations were observed
during either proximal soft coil
packing or during hand injected
angiography runs”
POD Cost Effectiveness
Y90 GDA Embolization
• One POD4™ Occluded the GDA Instantly
Dr. Francisco Contreras, Altamonte Springs, FL
NEW POD Packing Coil
Shapeless Design to Conform to Any Vessel Size
Pack behind POD or Ruby for Vessel Occlusion
4 Lengths
•
•
•
•
15cm
30cm
45cm
60cm
Copyright © 2015 Penumbra, Inc. All rights
reserved. Internal Use Only. 5576, Rev. C
19
POD Packing Coil
Type Two Endoleak – Lumbar Embolization
• 3mm vessel
• long 3mm Ruby
• 60cm POD PACKING COIL.
• A single POD Packing Coils
conformed to the dilating
vessel
Dr. Teigen, Sanford Medical Center