AComm Aneurysm - Blockade Medical

The Barricade Coil System used for the treatment
of an unruptured AComm aneurysm.
Istvan Szikora, M.D., National Institute for Neurosciences, Budapest, Hungary
CASE PRESENTATION
A 31-year-old female presented with an unruptured asymptomatic AComm aneurysm.
The aneurysm measured 5mm in its largest dimension and had a 3mm neck.
Pre-Treatment
TREATMENT TECHNIQUE
A balloon assisted coiling technique was utilized. The aneurysm was framed with
a 5mm x 9cm Barricade framing coil, then filled and finished exclusively with
Barricade Coils. A total of five Barricade Coils were deployed.
Barricade Coil Deployment
ANGIOGRAPHIC AND CLINICAL RESULT
The procedure was completed with no complications. Successful aneurysm
packing was achieved and post procedure angiography revealed very minimal
filling of the aneurysm.
Post Treatment
WWW.BLOCKADEMEDICAL.COM
op Dia.
Length
Reference No
Large Loop Dia.
Length
Reference No
Large Loop Dia.
INTL
INTLBRO
BRO
Length
No
Large Loop Dia. Length
No
Large Loop
Dia. Length
No
Large9000270304FL10
Loop Dia. Length
3mm Reference4cm
m Reference3cm
9000170616FR18
6mm Reference16cm
3mm
6cm
9000280306FL10
5cm
mm
9000180719FR18
7mm
19cm
4cm
9000270304FL10
3mm
3cm
9000000203FR10
2mm
9000170616FR18
6mm
16cm
3mm
8cm
9000290308FL10
m
6cm
9000770827FR18
8mm
27cm
3mm
6cm
9000280306FL10
5cm
9000010255FR10
2.5mm
9000180719FR18
7mm
19cm
10cm
3mm
9000300310FL10
m
7cm
9mm
30cm
9000780930FR18
3mm
8cm
9000290308FL10
3mm
6cm
27cm
9000020306FR10
9000770827FR18
8mm
4cm
9000310404FL10
4mm
m
13cm
9000791034FR18
10mm
34cm
10cm COIL
3mm
9000300310FL10 10 HELICAL
4mmFRAMING
7cmCOIL
9mmFRAMING
30cmCOIL
9000030407FR10
9000780930FR18
FILLING
18
COMPLEX
10
COMPLEX
10
HELICAL
FILLING
COIL
18
COMPLEX
FRAMING
COIL
10
COMPLEX
FRAMING
COIL
6cm
9000320406FL10
4mm
m
9cm
9000801137FR18
11mm
37cm
4cm
9000310404FL10
4mm
9000680413FR10
4mm
13cm
9000791034FR18
10mm
34cm
4mm
8cm
9000330408FL10
17cm
m
9000811240FR18
12mm
40cm
6cm
9000320406FL10
4mm
9000050509FR10
5mm
9cm
9000801137FR18
11mm
37cm
4mm
10cm
9000340410FL10
m
11cm
9000821343FR18
13mm
43cm
4mm
8cm
9000330408FL10
17cm
9000690517FR10
5mm
9000811240FR18
12mm
40cm
15cm
9000850415FL10
4mm
m
20cm
9000831447FR18
14mm
47cm
4mm
10cm
9000340410FL10
6mm
11cm
43cm
9000070611FR10
9000821343FR18
13mm
20cm
9000860420FL10
4mm
m
13cm
9000841550FR18
15mm
50cm
15cm
9000850415FL10
4mm
6mm
20cm
14mm
47cm
9000700620FR10
9000831447FR18
5mm
10cm
9000350510FL10
24cm
m
20cm
9000860420FL10
4mm
9000090713FR10
7mm
13cm
9000841550FR18
15mm
50cm
5mm
15cm
9000360515FL10
m
16cm
Reference
Large
Dia.Length
Length
Reference
No No
Large
LoopLoop
Dia.
Reference
No No
Large
LoopLoop
Dia. Dia.Length
Reference
No No
Large
LoopLoop
Dia.
Reference
Large
Dia.Length
Length
Reference
Large
Length
5mm
10cm
9000350510FL10
24cm
9000710724FR10
7mm
20cm
5mm
9000870520FL10
m
27cm
5mm 3mm3mm
15cm 4cm 4cm
9000360515FL10
8mm 2mm2mm
16cm 3cm 3cm
9000110816FR10
9000270304FL10
9000000203FR10
9000170616FR18
6mm6mm
16cm
9000270304FL10
9000000203FR10
9000170616FR18
16cm
10cm
9000370610FL10
6mm
m
23cm
20cm 6cm 6cm
5mm 3mm3mm
9000870520FL10
9000720827FR10
8mm 2.5mm
27cm 5cm 5cm
9000280306FL10
9000280306FL10
9000010255FR10
2.5mm
9000180719FR18
19cm
9000010255FR10
9000180719FR18
7mm7mm
19cm
6mm
15cm
9000380615FL10
30cm
m
10cm 8cm 8cm
9000370610FL10
6mm 3mm3mm
9000140923FR10
9mm 3mm3mm
23cm 6cm 6cm
9000290308FL10
9000290308FL10
9000020306FR10
9000770827FR18
8mm
27cm
9000020306FR10
9000770827FR18
8mm
27cm
6mm
20cm
9000390620FL10
27cm
mm
6mm
15cm 10cm10cm
9000380615FL10
9000730930FR10
9mm
30cm
3mm
9000300310FL10
3mm
9000300310FL10
4mm
7cm
9mm
30cm
9000030407FR10
9000780930FR18
4mm
7cm
9mm
30cm
9000030407FR10
9000780930FR18
9000400715FL10
7mm
15cm
mm
34cm
6mm 4mm4mm
20cm 4cm 4cm
9000390620FL10
10mm 4mm4mm
27cm 13cm13cm
9000161027FR10
9000310404FL10
9000310404FL10
9000680413FR10
9000791034FR18
10mm
34cm
9000680413FR10
9000791034FR18
10mm
34cm
20cm
9000410720FL10
7mm
BARRICADE
DETACHMENT
SYSTEM
9000400715FL10
7mm 4mm4mm
15cm 6cm 6cm
10mm
34cm
9000741034FR10
9000320406FL10
9000050509FR10
5mm5mm
9cm 9cm
9000801137FR18
11mm
37cm
9000320406FL10
9000050509FR10
9000801137FR18
11mm
37cm
30cm
9000910730FL10
7mm
20cm 8cm 8cm
9000410720FL10
7mm 4mm4mm
9000330408FL10
9000330408FL10
17cm
9000690517FR10 CBL002
9000811240FR18
12mm
40cm
17cm
9000690517FR10
5mm5mm
9000811240FR18
12mm
40cm
BARRICADE
DETACHMENT
SYSTEM
8mm
20cm
9000420820FL10
Handheld Detachment Cable
30cm 10cm10cm
9000910730FL10
7mm 4mm4mm
9000340410FL10
9000340410FL10
6mm
11cm
9000070611FR10
9000821343FR18
13mm
43cm
6mm
11cm
9000070611FR10
9000821343FR18
13mm
43cm
30cm
8mm
9000430830FL10
ED2BL000000000
Detachment Box
8mm
20cm 15cm15cm
9000420820FL10
CBL002
Handheld
Detachment
Cable
4mm
9000850415FL10
4mm
9000850415FL10
6mm
20cm
14mm
47cm
9000700620FR10
9000831447FR18
9000700620FR10
6mm
20cm
9000831447FR18
14mm
47cm
30cm
9000440930FL10
9mm
30cm 20cm20cm
8mm 4mm4mm
9000430830FL10
ED2BL000000000
Detachment
Box
9000860420FL10
9000860420FL10
9000090713FR10
9000841550FR18
15mm
50cm
9000090713FR10
7mm7mm
13cm13cm
9000841550FR18
15mm
50cm
10mm
30cm
9000451030FL10
30cm 10cm10cm
9000440930FL10
9mm 5mm5mm
9000350510FL10
24cm24cm
9000710724FR10
7mm7mm
9000350510FL10
9000710724FR10
10mm 5mm5mm
30cm 15cm15cm
9000451030FL10
9000360515FL10
9000360515FL10
9000110816FR10
8mm8mm
16cm16cm
9000110816FR10
9000870520FL10
MENT9000720827FR10
SYSTEM
10 HELICAL FINISHING COIL
20cm20cm
5mm5mm
9000870520FL10
9000720827FR10
8mm8mm
27cm27cm
10cm10cm
9000370610FL10
6mm6mm
9000370610FL10
9000140923FR10
9mm9mm
23cm23cm
9000140923FR10
BARRICADE
DETACHMENT SYSTEM
10 HELICAL FINISHING
COIL
Detachment
Cable
9000380615FL10
15cm15cm
6mm6mm
9000380615FL10
9000730930FR10
30cm30cm
9000730930FR10
9mm9mm
chment Box
9000390620FL10
10mm
9000161027FR10
6mm6mm
20cm20cm
9000390620FL10
10mm
9000161027FR10
CBL002
Handheld Detachment
Cable 27cm27cm
15cm15cm
7mm7mm
9000400715FL10
9000400715FL10
10mm
9000741034FR10
10mm
34cm34cm
9000741034FR10
900067
Detachment
Box
20cm
9000410720FL10
7mm
20cm
9000410720FL10
7mm
BARRICADE
DETACHMENT
SYSTEM 9000910730FL10
BARRICADE
DETACHMENT
SYSTEM
30cm30cm
7mm7mm
9000910730FL10
Reference No
Large Loop Dia. Length
9000420820FL10
8mm8mm
20cm20cm
9000420820FL10
CBL002 Handheld
Handheld
Detachment
CBL002
Detachment
CableCable
Reference
No
Large 9000430830FL10
Loop9000430830FL10
Dia. Length
9001260101FN10
1mm
1cm
30cm30cm
8mm8mm
ED2BL000000000
Detachment
Box Box
ED2BL000000000
Detachment
30cm30cm
9000440930FL10
9mm9mm
9001270102FN10
1mm
2cm
9000440930FL10
18
COMPLEX
FRAMING
COIL
10
COMPLEX
FRAMING
COIL
9001260101FN10
1mm
1cm
LEX FINISHING COIL
1mm
3cm
9001280103FN10
30cm
10mm
9000451030FL10 10mm
30cm
9000451030FL10
9001270102FN10
1mm
2cm
9001290104FN10
1mm
4cm
10 COMPLEX FINISHING COIL
1mm
3cm
9001280103FN10
1.5mm
1cm
9000460151FN10
9001290104FN10
1mm FINISHING
4cm
BARRICADE
DETACHMENT
SYSTEM
10 HELICAL
COIL
BARRICADE
DETACHMENT
SYSTEM
10
FINISHING
COIL
9000470152FN10
1.5mm
2cmHELICAL
1.5mm
1cm
9000460151FN10
9000480153FN10
1.5mm
3cm
9000470152FN10
1.5mm
2cm
CBL002 Handheld
Handheld
Detachment
CBL002
Detachment
CableCable
1.5mm
4cm
9000930154FN10
Re
Reference No
Large Loop9000480153FN10
Dia. Length
Reference No
1.5mm
3cm Large Loop Dia. Length
900067
Detachment
900067
Box Box
Large Loop
Dia. Length Detachment
9000490201FN10
2mm
1cm
1.5mm
4cm
9000930154FN10
900
9000500202FN10
2mm
2cm
3cm
2mm
6mm
16cm
9000000203FR10
9000170616FR18
No
Large Loop Dia. Length
1mm Reference2cm
0
9000490201FN10
2mm
1cm
900
9000510203FN10
2mm
3cm
5cm
9000010255FR10
2.5mm
9000180719FR18
7mm
19cm
2cm
1.5mm
0
9000500202FN10
2mm
2cm
2cm
1mm
9001010102CF10
900
2mm
4cm
9000520204FN10
3mm
6cm
27cm
9000020306FR10
9000770827FR18
8mm
Reference
No
Large
Loop
Dia.
Length
Reference
No
Large
Loop
Dia.
Length
3cm
1.5mm
0
9000510203FN10
2mm
3cm
2cm
1.5mm
9001020152CF10
900
9000950206FN10
2mm
6cm
7cm
4mm
9mm
30cm
9000030407FR10
9000780930FR18
4cm
1.5mm
0
2mm 1mm1mm
4cm
9000520204FN10
9001260101FN10
1cm
9001260101FN10
3cm
1.5mm
9001030153CF10
900
9000960208FN10
2mm
8cm
4mm
13cm
9000680413FR10
9000791034FR18 1cm10mm
34cm
2cm
2mm
0
9000950206FN10
2mm
6cm
9001270102FN10
2cm
9001270102FN10
1mm1mm
2cm11mm
900
4cm COIL
1.5mm
9001040154CF10
9000530253FN10
2.5mm
3cm
5mm
9cm
37cm
9000050509FR10
9000801137FR18
10
COMPLEX
FINISHING
10
COMPLEX
FINISHING
COIL
3cm
2mm
0
9000960208FN10
2mm 1mm1mm
8cm
9001280103FN10
9001280103FN10
3cm
900
2mm
2cm
9001050202CF10
9000540254FN10
2.5mm
4cm
17cm
9000690517FR10
5mm
9000811240FR18 3cm12mm
40cm
4cm
2mm
0
9000530253FN10
2.5mm
3cm
9001290104FN10
4cm
9001290104FN10
1mm1mm
4cm13mm
900
3cm
2mm
9001060203CF10
9000550256FN10
2.5mm
6cm
6mm
11cm
9000070611FR10
9000821343FR18
43cm
6cm
2mm
0
9000540254FN10
2.5mm 1.5mm
4cm 1cm 1cm
9000460151FN10
1.5mm
9000460151FN10
900
9001070204CF10
2mm
4cm
20cm
9000700620FR10
6mm
9000831447FR18
14mm
47cm
9000560304FN10
3mm
4cm
0
2.5mm
3cm
9000550256FN10
2.5mm 1.5mm
6cm 2cm 2cm
9000470152FN10
1.5mm
9000470152FN10
900
2mm
6cm
9001080206CF10
9000090713FR10
7mm
13cm
9000841550FR18
15mm
50cm
9000570306FN10
3mm
6cm
2.5mm
4cm
0
9000560304FN10
3mm
4cm
9000480153FN10
1.5mm
9000480153FN10
1.5mm
3cm 3cm
900
3cm
9001100253CF10
2.5mm
7mm
24cm
9000710724FR10
9000980308FN10
3mm
8cm
4cm
0
3mm
9000570306FN10
3mm 1.5mm
6cm 4cm 4cm
9000930154FN10
9000930154FN10
1.5mm
900
2.5mm
4cm
9001110254CF10
9000110816FR10
8mm
16cm
9000990310FN10
3mm
10cm
3mm
6cm
0
9000980308FN10
3mm 2mm2mm
8cm 1cm 1cm
Reference
No No
Large
LoopLoop
Dia.
Reference
Large
Dia.Length
Length
9000490201FN10
9000490201FN10
900
4cm
3mm
9001130304CF10
8mm
27cm
9000720827FR10
9000580406FN10
4mm
6cm
8cm
3mm
0
9000990310FN10
3mm 2mm2mm
10cm 2cm 2cm
9000500202FN10
9000500202FN10
900
6cm 2cm9000140923FR10
9001140306CF10
3mm 1mm1mm
9mm
23cm
9000590408FN10
4mm
8cm
9001010102CF10
2cm
9001010102CF10
10cm
0
3mm
9000580406FN10
4mm 2mm2mm
6cm 3cm 3cm
9000510203FN10
9000510203FN10
900
3mm 1.5mm
8cm 2cm9000730930FR10
9001150308CF10
9mm
30cm
9001000410FN10
4mm
10cm
1.5mm
2cm
9001020152CF10
9001020152CF10
4mm
6cm
0
9000590408FN10
4mm
8cm
9000520204FN10
9000520204FN10
2mm2mm
4cm 4cm
900
3mm 1.5mm
10cm 3cm9000161027FR10
9001160310CF10
10mm
27cm
9000600506FN10
5mm
6cm
3cm
1.5mm
9001030153CF10
9001030153CF10
4mm
8cm
0
9001000410FN10
4mm 2mm2mm
10cm 6cm 6cm
9000950206FN10
9000950206FN10
900
9001180406CF10
4mm
6cm
9000741034FR10
10mm
34cm
9000610508FN10
5mm
8cm
4cm
1.5mm
9001040154CF10
9001040154CF10
1.5mm
4cm
0
4mm
10cm
9000600506FN10
5mm 2mm2mm
6cm 8cm 8cm
9000960208FN10
9000960208FN10
900
8cm 2cm 2cm
9001190408CF10
4mm 2mm2mm
9000620510FN10
5mm
10cm
9001050202CF10
9001050202CF10
BARRICADE
DETACHMENT
SYSTEM
8cm
0
5mm
9000610508FN10
5mm 2.5mm
8cm 3cm 3cm
9000530253FN10
2.5mm
9000530253FN10
900
10cm 3cm 3cm
9001200410CF10
4mm 2mm2mm
9000630606FN10
6mm
6cm
9001060203CF10
9001060203CF10
10cm
0
5mm
9000620510FN10
5mm 2.5mm
10cm 4cm 4cm
9000540254FN10
2.5mm
9000540254FN10
900
5mm 2mm2mm
8cm 4cm 4cm
9001230508CF10
9000640608FN10
6mm
8cm
CBL002
Handheld Detachment Cable
9001070204CF10
9001070204CF10
9000630606FN10
6mm
6cm
9000550256FN10
2.5mm
6cm
9000550256FN10
2.5mm
6cm
900
10cm 6cm 6cm
5mm 2mm2mm
9001240510CF10
9000650610FN10
6mm
10cm
ED2BL000000000
Detachment
Box
9001080206CF10
9001080206CF10
9000640608FN10
6mm 3mm3mm
8cm 4cm 4cm
9000560304FN10
9000560304FN10
900
3cm
2.5mm
9001100253CF10
9001100253CF10
2.5mm
3cm
9000650610FN10
6mm 3mm3mm
10cm 6cm 6cm
9000570306FN10
9000570306FN10
900
2.5mm
9001110254CF10 2.5mm
4cm 4cm
9001110254CF10
9000980308FN10 3mm3mm
9000980308FN10
8cm 8cm
3mm
4cm
9001130304CF10
4cm
9001130304CF10
3mm
Blockade Medical
MADE IN AMERICA
9000990310FN10 3mm3mm
9000990310FN10
10cm10cm
6cm
9001140306CF10
18 Technology Dr., Suite 169
6cmBARRICADE
9001140306CF10
3mm3mm
DETACHMENT
SYSTEM
10 HELICAL F
STERILE R 4mm4mm
9000580406FN10
6cm 6cm
Irvine, CA 92618 9000580406FN10
8cm
3mm
9001150308CF10
3mm
8cm
9001150308CF10
The Barricade Coil System is intended for the endovascular embolization of intracranial
9000590408FN10
8cm 8cm
9000590408FN10 4mm4mm
+949-788-1443
10cm
9001160310CF10
3mm
9001160310CF10
3mm
CBL002
Handheld Detachment Cable
aneurysms and other
neurovascular abnormalities such
as arteriovenous 10cm
malformations
9001000410FN10 4mm4mm
9001000410FN10
10cm10cm
www.blockademedical.com
and arteriovenous
fistulae. The System is also 4mm
intended
for vascular 6cm
occlusion
of blood
4mm
6cm
9001180406CF10
9001180406CF10
900067
Detachment Box
9000600506FN10 5mm5mm
vessels within the neurovascular system to permanently obstruct blood flow to an aneurysm
9000600506FN10
6cm 6cm
4mm
8cm
9001190408CF10
4mm
8cm
9001190408CF10
or other vascular malformation and for arterial and venous embolizations in the peripheral
Healthlink9000610508FN10
Europe
BV
9000610508FN10
5mm
5mm
8cm 8cm
EC REP De Tweeling 20-22
4mmproduct information.
vasculature.9001200410CF10
Refer9001200410CF10
to the instructions for use for4mm
complete
10cm10cm
9000620510FN10 5mm5mm
9000620510FN10
10cm10cm
8cm
9001230508CF10
5mm
5mm
8cm
9001230508CF10
5215 MC ‘s 9000630606FN10
Hertogenbosch
18 TECHNOLOGY DRIVE #169, IRVINE CA 92618
6mm6mm
6cm 6cm
9000630606FN10 0297
Reference No
La
5mm5mm
10cm10cm
9001240510CF10
9001240510CF10
The Netherlands
p: 949.788.1443
| f: 949.788.1444
9000640608FN10 6mm6mm
9000640608FN10
8cm 8cm
9001260101FN10
9000650610FN10 6mm6mm
9000650610FN10
10cm10cm
WWW.BLOCKADEMEDICAL.COM
9001270102FN10
10
COMPLEX
FINISHING
COIL
MKTG-005 INTL Rev C
9001280103FN10
9001290104FN10
9000460151FN10
INTL BRO