Table 2. Examples of commonly used detachable coils.
Name | System requirement | Detachment | Sizes and shapes | Comments |
---|---|---|---|---|
Interlock (Boston Scientific) |
Diagnostic catheter and microcatheter | Locking mechanism detached by advancing coil past the tip of the catheter Avoid advancing the pusher too deep into the coils package as the notch can become entangled in the coils |
2D, cube, and diamond shapes Size: 2–22 mm Length: up to 60 cm |
Very thrombogenic, made of platinum, highly visible, relatively rigid, a nonfibered softer version recently available with 2–5 diameter in sizes and up to 12 cm in length |
Concerto (Medtronic) |
Microcatheter | Bell and socket locking system, released by a separate handle | Helical and 3D Diameter: 2–20 mm Length: up to 50 cm |
Extremely soft, allows embolization of very small and tortuous vessels Coils are not very thrombogenic, require dense packing. Available with polymer fibers to increase thrombogenicity |
Ruby (Penumbra) |
High flow and regular microcatheter | Standard and soft Deployed by a click in a separate handle |
Ruby POD for high-flow lesions Packing coil Diameter: 1–40 mm Length: up to 60 cm |
Large-volume coil, requires a large lumen microcatheter Low-profile system recently available that allows using a regular 0.021 microcatheter |
Azur (Terumo) |
Diagnostic catheter and microcatheter | Deployed by a click in a separate handle | Framing for aneurysms Hydrocoil (filling and packing) and CX (anchor) Diameter: 2–20 Length: up to 40 cm |
Hydrogel expands 4–5 times the original size in the presence of blood |
Retracta (Cook) |
Diagnostic catheter | Deployed by manually unscrewing a cable with a torque 8–10 times counter clockwise |
Diameter: 4–20 mm Length: up to 14 cm |
Test injection is possible before deployment using a Y adaptor |