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. 2018 Jan 31;20(1):46–56. doi: 10.5853/jos.2017.02229

Table 1.

Information on devices available for intracranial aneurysm management

Device picture Device name Manufacture CE Mark and FDA approval Korea/China/Japan market Brief introduction On-going clinical trials
Figure 2 A-D The Woven Endo-Bridge (WEB) Sequent Medical, Aliso Viejo, CA, USA (http://www.sequentmedical.com/index.html) CE Mark (2011); USA (investigational use) China, clinical trial; Korea and Japan, NA WEB is a self-expanding mesh that can be introduced into intracranial aneurysms and cover the neck of the aneurysm, resulting in blood flow disruption, thrombosis, and occlusion. CLinical Assessment of WEB® Device in Ruptured aneurYSms (CLARYS) (NCT02687607)
Figure 2 E, F Medina embolization device (MED) Covidien/eV3, Medtronic, Dublin, Ireland (https:// www.ev3.net/neuro/us/) CE Mark (2014) NA MED is a three-dimensional coil with a memory shape, comprising a radiopaque platinum core wire and a braid mesh with petals shape attached to each loop of the core wire. Medina Embolization Device In Neurovascular Aneurysm Study (MEDINA) (NCT02982200)
Figure 2 G, H Barrel vascular remodeling device (VRD) system Medtronic, Minneapolis, MN, USA (https://www.ev3.net/neuro/us/) CE Mark (2013) NA Barrel is a self-expandable laser-cut stent with a bulged center section designed to treat wide-necked bifurcation aneurysms with a single stent. The Reverse Barrel™ VRD Intracranial Aneurysm Trial (Barrel) (NCT02125097)
Figure 2 I-L PulseRider Pulsar Vascular (Codman Neuro), Los Gatos, CA, USA (http://www.pulsarvascular.com/) CE Mark (2013) NA PulseRider is a self-expanding nitinol implant designed for treating wide-neck aneurysms arising at vascular bifurcations. Adjunctive Neurovascular Support for Wide-neck Aneurysm Embolization and Reconstruction (ANSWER) (NCT02312856)
Figure 2 M, N pCONus Phenox, Bochum, Germany (http://www.phenox.net/) CE Mark (2014) NA The pCONus is a stent designed to treat wide-neck intracranial bifurcation aneurysms. pCONus Treatment of Wide-Neck Intracranial Aneurysms (pToWin) (NCT02554708)
Figure 2 O, P pCANvas Phenox, Bochum, Germany (http://www.phenox.net/) NA NA pCANvas is an evolution of the pCONus, with additional membrane coverage of the petals (arrows). NA
Figure 2 Q Comaneci Rapidmedical, Yokneam, Israel CE Mark (2014) NA The Comaneci device is a compliant radiopaque mesh, comparable to a compliant balloon in aneurysm coiling, without the drawback of blocked flow within the parent artery during expansion of the device. NA
Figure 2 R-T eCLIPs Evasc Medical Systems Corp., Vancouver, BC, Canada (https://www.evasc.com/) CE Mark (2014); FDA Designating Humanitarian Use Device (2015) NA The eCLIPs is a self-expanding, non-circumferential device designed for treating wide-necked bifurcation aneurysms. It has coil retention and flow-disrupting functions. European eCLIPs™ Safety, Feasibility and Efficacy Study (EESIS) (NCT02607501)
Figure 2 U-W Honeycomb microporous covered stent Corresponding author: Yasuhide Nakayamany@ncvc.go.jp NA Japan, clinical trial The novel honeycomb microporous covered stents were developed for treating large or wide-necked cerebral aneurysms, with the cavernous sinus portion of the internal carotid and vertebrobasilar arteries as the target treatment regions. Safety and Efficacy of Honeycomb Microporous Covered Stents (NCVC-CS1) for the Treatment of Intracranial Aneurysms (NCVC-CS1_UAN) (NCT02907229)

CE Mark, European Conformity Mark; FDA, U.S. Food and Drug Administration; NA, not available.