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Stryker artery pcoma
EVT difficulty and double overlapping FD deployment for the ruptured aneurysms. (A) Coiling the AcomA aneurysm with LEO Baby stent assistance. Panel 1: DSA shows a small AcomA aneurysm (arrow) projecting upward. Panel 2: X-ray image (left) and roadmap image (right) show the LEO Baby stent was semi-deployed. The microcatheter (arrows) reached the aneurysm neck but could not enter the sac. Panel 3: X-ray image (left) and unsubtracted DSA (right) show the coil (arrows) was successfully pushed into the aneurysm with the stent acting as a backstop. (B) In-FD thrombosis.‌ ‌Panel 1:‌ DSA shows occlusion of the ICA due to in-FD thrombosis (left). X-ray image shows the semi-deployed FD (right). Panel 2: Following FD withdrawal, roadmap image shows ICA patency. ‌Panel 3:‌ X-ray shows the aneurysm coiled with Solitaire stent assistance (left). DSA shows the ICA patency (right). (C) Double overlapping FDs for a BBA.‌ Panel 1:‌ DSA shows a supraclinoid ICA BBA (arrow). Panel 2:‌ X-ray images show the first FD deployed to cover the BBA (left), the deployment of the second FD (middle), and the final configuration of the two overlapping FDs (right). Panel 3: DSA shows patency of the supraclinoid ICA and its branches, as well as an extracranial ICA aneurysm (arrow). (D) Double overlapping FDs for a VA dissection.‌ Panel 1:‌ CT (left) shows subarachnoid hemorrhage and hemorrhage in the fourth ventricle. CT angiography (right) shows a VA dissection (arrow). Panel 2:‌ The left image shows the double overlapping FDs with incomplete wall apposition (arrow). The right X-ray image shows improved wall apposition following mechanical massage using the <t>microguidewire.</t> Panel 3:‌ DSA shows patency of the VA and its branches. Abbreviations: AcomA, anterior communicating artery; BBA, blister-like aneurysm; CT, computed tomography; DSA, digital subtraction angiography; EVT, endovascular treatment; FD, flow diverter; ICA, internal carotid artery; PICA, posterior inferior cerebellar artery; VA, vertebral artery.
Artery Pcoma, supplied by Stryker, used in various techniques. Bioz Stars score: 86/100, based on 1 PubMed citations. ZERO BIAS - scores, article reviews, protocol conditions and more
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1) Product Images from "Use of overlapping Surpass Evolve Flow Diverters for the treatment of a ruptured P1 dissecting aneurysm in the context of bilateral carotid artery occlusion: A case report"

Article Title: Use of overlapping Surpass Evolve Flow Diverters for the treatment of a ruptured P1 dissecting aneurysm in the context of bilateral carotid artery occlusion: A case report

Journal: Radiology Case Reports

doi: 10.1016/j.radcr.2026.04.058

EVT difficulty and double overlapping FD deployment for the ruptured aneurysms. (A) Coiling the AcomA aneurysm with LEO Baby stent assistance. Panel 1: DSA shows a small AcomA aneurysm (arrow) projecting upward. Panel 2: X-ray image (left) and roadmap image (right) show the LEO Baby stent was semi-deployed. The microcatheter (arrows) reached the aneurysm neck but could not enter the sac. Panel 3: X-ray image (left) and unsubtracted DSA (right) show the coil (arrows) was successfully pushed into the aneurysm with the stent acting as a backstop. (B) In-FD thrombosis.‌ ‌Panel 1:‌ DSA shows occlusion of the ICA due to in-FD thrombosis (left). X-ray image shows the semi-deployed FD (right). Panel 2: Following FD withdrawal, roadmap image shows ICA patency. ‌Panel 3:‌ X-ray shows the aneurysm coiled with Solitaire stent assistance (left). DSA shows the ICA patency (right). (C) Double overlapping FDs for a BBA.‌ Panel 1:‌ DSA shows a supraclinoid ICA BBA (arrow). Panel 2:‌ X-ray images show the first FD deployed to cover the BBA (left), the deployment of the second FD (middle), and the final configuration of the two overlapping FDs (right). Panel 3: DSA shows patency of the supraclinoid ICA and its branches, as well as an extracranial ICA aneurysm (arrow). (D) Double overlapping FDs for a VA dissection.‌ Panel 1:‌ CT (left) shows subarachnoid hemorrhage and hemorrhage in the fourth ventricle. CT angiography (right) shows a VA dissection (arrow). Panel 2:‌ The left image shows the double overlapping FDs with incomplete wall apposition (arrow). The right X-ray image shows improved wall apposition following mechanical massage using the microguidewire. Panel 3:‌ DSA shows patency of the VA and its branches. Abbreviations: AcomA, anterior communicating artery; BBA, blister-like aneurysm; CT, computed tomography; DSA, digital subtraction angiography; EVT, endovascular treatment; FD, flow diverter; ICA, internal carotid artery; PICA, posterior inferior cerebellar artery; VA, vertebral artery.
Figure Legend Snippet: EVT difficulty and double overlapping FD deployment for the ruptured aneurysms. (A) Coiling the AcomA aneurysm with LEO Baby stent assistance. Panel 1: DSA shows a small AcomA aneurysm (arrow) projecting upward. Panel 2: X-ray image (left) and roadmap image (right) show the LEO Baby stent was semi-deployed. The microcatheter (arrows) reached the aneurysm neck but could not enter the sac. Panel 3: X-ray image (left) and unsubtracted DSA (right) show the coil (arrows) was successfully pushed into the aneurysm with the stent acting as a backstop. (B) In-FD thrombosis.‌ ‌Panel 1:‌ DSA shows occlusion of the ICA due to in-FD thrombosis (left). X-ray image shows the semi-deployed FD (right). Panel 2: Following FD withdrawal, roadmap image shows ICA patency. ‌Panel 3:‌ X-ray shows the aneurysm coiled with Solitaire stent assistance (left). DSA shows the ICA patency (right). (C) Double overlapping FDs for a BBA.‌ Panel 1:‌ DSA shows a supraclinoid ICA BBA (arrow). Panel 2:‌ X-ray images show the first FD deployed to cover the BBA (left), the deployment of the second FD (middle), and the final configuration of the two overlapping FDs (right). Panel 3: DSA shows patency of the supraclinoid ICA and its branches, as well as an extracranial ICA aneurysm (arrow). (D) Double overlapping FDs for a VA dissection.‌ Panel 1:‌ CT (left) shows subarachnoid hemorrhage and hemorrhage in the fourth ventricle. CT angiography (right) shows a VA dissection (arrow). Panel 2:‌ The left image shows the double overlapping FDs with incomplete wall apposition (arrow). The right X-ray image shows improved wall apposition following mechanical massage using the microguidewire. Panel 3:‌ DSA shows patency of the VA and its branches. Abbreviations: AcomA, anterior communicating artery; BBA, blister-like aneurysm; CT, computed tomography; DSA, digital subtraction angiography; EVT, endovascular treatment; FD, flow diverter; ICA, internal carotid artery; PICA, posterior inferior cerebellar artery; VA, vertebral artery.

Techniques Used: Dissection, Computed Tomography

Vessel perforation by a microguidewire during FD deployment. Panel 1: DSA (left) shows an anterior choroidal artery aneurysm (arrow). Roadmap image (middle) shows the FD being delivered across the aneurysm. Post-deployment DSA (right) reveals no abnormality. Panel 2: Xper CT (left) demonstrates SAH (circle), indicating vessel rupture. Three-dimensional DSA (middle) shows a rupture point (arrow) on the MCA upper trunk. Selective angiography (right) identifies the rupture point (arrow) and active contrast extravasation (asterisk). Panel 3: X-ray image (left) shows an inflated balloon (arrow) in the MCA upper trunk to occlude the rupture site. After 1 hour of occlusion, bleeding persisted. The MCA upper trunk was subsequently coiled through the balloon catheter (middle). DSA (right) confirms occlusion of the MCA upper trunk (arrow). Panel 4: Immediate postoperative Xper CT (left) shows increased SAH (circle). Postoperative day 5 CT (middle) reveals resorption of the SAH and a left frontal lobe infarction (circle). Postoperative day 6 magnetic resonance imaging (right) demonstrates acute left frontal lobe infarction. Abbreviations: CT, computed tomography; DSA, digital subtraction angiography; FD, flow diverter; L, left; MCA, middle cerebral artery; SAH, subarachnoid hemorrhage.
Figure Legend Snippet: Vessel perforation by a microguidewire during FD deployment. Panel 1: DSA (left) shows an anterior choroidal artery aneurysm (arrow). Roadmap image (middle) shows the FD being delivered across the aneurysm. Post-deployment DSA (right) reveals no abnormality. Panel 2: Xper CT (left) demonstrates SAH (circle), indicating vessel rupture. Three-dimensional DSA (middle) shows a rupture point (arrow) on the MCA upper trunk. Selective angiography (right) identifies the rupture point (arrow) and active contrast extravasation (asterisk). Panel 3: X-ray image (left) shows an inflated balloon (arrow) in the MCA upper trunk to occlude the rupture site. After 1 hour of occlusion, bleeding persisted. The MCA upper trunk was subsequently coiled through the balloon catheter (middle). DSA (right) confirms occlusion of the MCA upper trunk (arrow). Panel 4: Immediate postoperative Xper CT (left) shows increased SAH (circle). Postoperative day 5 CT (middle) reveals resorption of the SAH and a left frontal lobe infarction (circle). Postoperative day 6 magnetic resonance imaging (right) demonstrates acute left frontal lobe infarction. Abbreviations: CT, computed tomography; DSA, digital subtraction angiography; FD, flow diverter; L, left; MCA, middle cerebral artery; SAH, subarachnoid hemorrhage.

Techniques Used: Magnetic Resonance Imaging, Computed Tomography



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Stryker artery pcoma
EVT difficulty and double overlapping FD deployment for the ruptured aneurysms. (A) Coiling the AcomA aneurysm with LEO Baby stent assistance. Panel 1: DSA shows a small AcomA aneurysm (arrow) projecting upward. Panel 2: X-ray image (left) and roadmap image (right) show the LEO Baby stent was semi-deployed. The microcatheter (arrows) reached the aneurysm neck but could not enter the sac. Panel 3: X-ray image (left) and unsubtracted DSA (right) show the coil (arrows) was successfully pushed into the aneurysm with the stent acting as a backstop. (B) In-FD thrombosis.‌ ‌Panel 1:‌ DSA shows occlusion of the ICA due to in-FD thrombosis (left). X-ray image shows the semi-deployed FD (right). Panel 2: Following FD withdrawal, roadmap image shows ICA patency. ‌Panel 3:‌ X-ray shows the aneurysm coiled with Solitaire stent assistance (left). DSA shows the ICA patency (right). (C) Double overlapping FDs for a BBA.‌ Panel 1:‌ DSA shows a supraclinoid ICA BBA (arrow). Panel 2:‌ X-ray images show the first FD deployed to cover the BBA (left), the deployment of the second FD (middle), and the final configuration of the two overlapping FDs (right). Panel 3: DSA shows patency of the supraclinoid ICA and its branches, as well as an extracranial ICA aneurysm (arrow). (D) Double overlapping FDs for a VA dissection.‌ Panel 1:‌ CT (left) shows subarachnoid hemorrhage and hemorrhage in the fourth ventricle. CT angiography (right) shows a VA dissection (arrow). Panel 2:‌ The left image shows the double overlapping FDs with incomplete wall apposition (arrow). The right X-ray image shows improved wall apposition following mechanical massage using the <t>microguidewire.</t> Panel 3:‌ DSA shows patency of the VA and its branches. Abbreviations: AcomA, anterior communicating artery; BBA, blister-like aneurysm; CT, computed tomography; DSA, digital subtraction angiography; EVT, endovascular treatment; FD, flow diverter; ICA, internal carotid artery; PICA, posterior inferior cerebellar artery; VA, vertebral artery.
Artery Pcoma, supplied by Stryker, used in various techniques. Bioz Stars score: 86/100, based on 1 PubMed citations. ZERO BIAS - scores, article reviews, protocol conditions and more
https://www.bioz.com/product/artery+pcoma/pmc13196364-41-27-28?v=Stryker
Average 86 stars, based on 1 article reviews
artery pcoma - by Bioz Stars, 2026-07
86/100 stars
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EVT difficulty and double overlapping FD deployment for the ruptured aneurysms. (A) Coiling the AcomA aneurysm with LEO Baby stent assistance. Panel 1: DSA shows a small AcomA aneurysm (arrow) projecting upward. Panel 2: X-ray image (left) and roadmap image (right) show the LEO Baby stent was semi-deployed. The microcatheter (arrows) reached the aneurysm neck but could not enter the sac. Panel 3: X-ray image (left) and unsubtracted DSA (right) show the coil (arrows) was successfully pushed into the aneurysm with the stent acting as a backstop. (B) In-FD thrombosis.‌ ‌Panel 1:‌ DSA shows occlusion of the ICA due to in-FD thrombosis (left). X-ray image shows the semi-deployed FD (right). Panel 2: Following FD withdrawal, roadmap image shows ICA patency. ‌Panel 3:‌ X-ray shows the aneurysm coiled with Solitaire stent assistance (left). DSA shows the ICA patency (right). (C) Double overlapping FDs for a BBA.‌ Panel 1:‌ DSA shows a supraclinoid ICA BBA (arrow). Panel 2:‌ X-ray images show the first FD deployed to cover the BBA (left), the deployment of the second FD (middle), and the final configuration of the two overlapping FDs (right). Panel 3: DSA shows patency of the supraclinoid ICA and its branches, as well as an extracranial ICA aneurysm (arrow). (D) Double overlapping FDs for a VA dissection.‌ Panel 1:‌ CT (left) shows subarachnoid hemorrhage and hemorrhage in the fourth ventricle. CT angiography (right) shows a VA dissection (arrow). Panel 2:‌ The left image shows the double overlapping FDs with incomplete wall apposition (arrow). The right X-ray image shows improved wall apposition following mechanical massage using the microguidewire. Panel 3:‌ DSA shows patency of the VA and its branches. Abbreviations: AcomA, anterior communicating artery; BBA, blister-like aneurysm; CT, computed tomography; DSA, digital subtraction angiography; EVT, endovascular treatment; FD, flow diverter; ICA, internal carotid artery; PICA, posterior inferior cerebellar artery; VA, vertebral artery.

Journal: Radiology Case Reports

Article Title: Use of overlapping Surpass Evolve Flow Diverters for the treatment of a ruptured P1 dissecting aneurysm in the context of bilateral carotid artery occlusion: A case report

doi: 10.1016/j.radcr.2026.04.058

Figure Lengend Snippet: EVT difficulty and double overlapping FD deployment for the ruptured aneurysms. (A) Coiling the AcomA aneurysm with LEO Baby stent assistance. Panel 1: DSA shows a small AcomA aneurysm (arrow) projecting upward. Panel 2: X-ray image (left) and roadmap image (right) show the LEO Baby stent was semi-deployed. The microcatheter (arrows) reached the aneurysm neck but could not enter the sac. Panel 3: X-ray image (left) and unsubtracted DSA (right) show the coil (arrows) was successfully pushed into the aneurysm with the stent acting as a backstop. (B) In-FD thrombosis.‌ ‌Panel 1:‌ DSA shows occlusion of the ICA due to in-FD thrombosis (left). X-ray image shows the semi-deployed FD (right). Panel 2: Following FD withdrawal, roadmap image shows ICA patency. ‌Panel 3:‌ X-ray shows the aneurysm coiled with Solitaire stent assistance (left). DSA shows the ICA patency (right). (C) Double overlapping FDs for a BBA.‌ Panel 1:‌ DSA shows a supraclinoid ICA BBA (arrow). Panel 2:‌ X-ray images show the first FD deployed to cover the BBA (left), the deployment of the second FD (middle), and the final configuration of the two overlapping FDs (right). Panel 3: DSA shows patency of the supraclinoid ICA and its branches, as well as an extracranial ICA aneurysm (arrow). (D) Double overlapping FDs for a VA dissection.‌ Panel 1:‌ CT (left) shows subarachnoid hemorrhage and hemorrhage in the fourth ventricle. CT angiography (right) shows a VA dissection (arrow). Panel 2:‌ The left image shows the double overlapping FDs with incomplete wall apposition (arrow). The right X-ray image shows improved wall apposition following mechanical massage using the microguidewire. Panel 3:‌ DSA shows patency of the VA and its branches. Abbreviations: AcomA, anterior communicating artery; BBA, blister-like aneurysm; CT, computed tomography; DSA, digital subtraction angiography; EVT, endovascular treatment; FD, flow diverter; ICA, internal carotid artery; PICA, posterior inferior cerebellar artery; VA, vertebral artery.

Article Snippet: An XT-27 microcatheter (Stryker Neurovascular, Fremont, CA, USA) was advanced into the left P1 segment and posterior communicating artery (PcomA) under the guidance of a Synchro 14 microguidewire (Stryker Neurovascular, Fremont, CA, USA).

Techniques: Dissection, Computed Tomography

Vessel perforation by a microguidewire during FD deployment. Panel 1: DSA (left) shows an anterior choroidal artery aneurysm (arrow). Roadmap image (middle) shows the FD being delivered across the aneurysm. Post-deployment DSA (right) reveals no abnormality. Panel 2: Xper CT (left) demonstrates SAH (circle), indicating vessel rupture. Three-dimensional DSA (middle) shows a rupture point (arrow) on the MCA upper trunk. Selective angiography (right) identifies the rupture point (arrow) and active contrast extravasation (asterisk). Panel 3: X-ray image (left) shows an inflated balloon (arrow) in the MCA upper trunk to occlude the rupture site. After 1 hour of occlusion, bleeding persisted. The MCA upper trunk was subsequently coiled through the balloon catheter (middle). DSA (right) confirms occlusion of the MCA upper trunk (arrow). Panel 4: Immediate postoperative Xper CT (left) shows increased SAH (circle). Postoperative day 5 CT (middle) reveals resorption of the SAH and a left frontal lobe infarction (circle). Postoperative day 6 magnetic resonance imaging (right) demonstrates acute left frontal lobe infarction. Abbreviations: CT, computed tomography; DSA, digital subtraction angiography; FD, flow diverter; L, left; MCA, middle cerebral artery; SAH, subarachnoid hemorrhage.

Journal: Radiology Case Reports

Article Title: Use of overlapping Surpass Evolve Flow Diverters for the treatment of a ruptured P1 dissecting aneurysm in the context of bilateral carotid artery occlusion: A case report

doi: 10.1016/j.radcr.2026.04.058

Figure Lengend Snippet: Vessel perforation by a microguidewire during FD deployment. Panel 1: DSA (left) shows an anterior choroidal artery aneurysm (arrow). Roadmap image (middle) shows the FD being delivered across the aneurysm. Post-deployment DSA (right) reveals no abnormality. Panel 2: Xper CT (left) demonstrates SAH (circle), indicating vessel rupture. Three-dimensional DSA (middle) shows a rupture point (arrow) on the MCA upper trunk. Selective angiography (right) identifies the rupture point (arrow) and active contrast extravasation (asterisk). Panel 3: X-ray image (left) shows an inflated balloon (arrow) in the MCA upper trunk to occlude the rupture site. After 1 hour of occlusion, bleeding persisted. The MCA upper trunk was subsequently coiled through the balloon catheter (middle). DSA (right) confirms occlusion of the MCA upper trunk (arrow). Panel 4: Immediate postoperative Xper CT (left) shows increased SAH (circle). Postoperative day 5 CT (middle) reveals resorption of the SAH and a left frontal lobe infarction (circle). Postoperative day 6 magnetic resonance imaging (right) demonstrates acute left frontal lobe infarction. Abbreviations: CT, computed tomography; DSA, digital subtraction angiography; FD, flow diverter; L, left; MCA, middle cerebral artery; SAH, subarachnoid hemorrhage.

Article Snippet: An XT-27 microcatheter (Stryker Neurovascular, Fremont, CA, USA) was advanced into the left P1 segment and posterior communicating artery (PcomA) under the guidance of a Synchro 14 microguidewire (Stryker Neurovascular, Fremont, CA, USA).

Techniques: Magnetic Resonance Imaging, Computed Tomography