Vikas Patel's profile

Major Advances in Endovascular Coiling

Vikas Patel MD is a New-York based neuroendovascular surgeon with eight years of experience in neurology and cerebrovascular diseases. A former endovascular neuroradiology and neurosurgery fellow at Westchester Medical Center, one of Dr. Vikas Patel's expertise is neurovascular surgeries using advanced endovascular coiling.

A minimally invasive procedure, endovascular treatment of brain aneurysms has always been performed with coils. Over the years, there have been several advances in endovascular coiling. Two decades ago, surgeons introduced the Guglielmi detachable coil in an endovascular coiling procedure. People with weak blood vessel walls can quickly develop aneurysms, and thanks to advances in endovascular coiling, aneurysms treatment has recorded high success rates.

Another newly introduced technique for treating aneurysms without placing ultra-thin coils in the sac is flow diversion. Flow diversion devices like pipeline embolization device (PED) and silk flow diverter, are used to divert blood past the aneurysms. Likewise, the introduction of catheters and wires opened up the possibility of using endovascular coiling for cerebrovascular treatments.

There are also other devices used in advanced endovascular treatment of aneurysms, such as the medina embolization device, barrel vascular remodeling device (VRD), the pulse rider, Comaneci device, among others. A stent is another new advancement in endovascular coiling. It's a wire mesh tube placed at the sac's neck to hold the coil and ideal for treating wide-necked aneurysms that simple coils cannot hold.
Major Advances in Endovascular Coiling
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Major Advances in Endovascular Coiling

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