Treatment of a ruptured shallow trilobed cerebral aneurysm with the novel saccular endovascular aneurysm lattice (SEAL) device: A case report with one year follow-up

Boris Pabon; Victor Torres; Keith Woodward; Margarita Cardozo; Benedict Tan; Varun Chaubal; Aamir Badruddin; Thomas Wolfe; Edgard Pereira; Brian Jankowitz; Vincent Costalat; David Altschul; Claire A. Langerford; Osama O. Zaidat

doi:10.1177/15910199231187048

Treatment of a ruptured shallow trilobed cerebral aneurysm with the novel saccular endovascular aneurysm lattice (SEAL) device: A case report with one year follow-up

Boris Pabon, Victor Torres, Keith Woodward, Margarita Cardozo, Benedict Tan, Varun Chaubal, Aamir Badruddin, Thomas Wolfe, Edgard Pereira, Brian Jankowitz, Vincent Costalat, David Altschul, Claire A. Langerford, Osama O. Zaidat

Research output: Contribution to journal › Article › peer-review

Abstract

Intrasaccular flow disruption is a viable alternative to other endovascular treatments for saccular or wide-necked bifurcation intracranial aneurysms; however, wide neck aneurysms with irregular shapes or shallow depth may not be amenable to treatment currently available intrasaccular devices. Here, we present the first ever case report of the novel Saccular Endovascular Aneurysm Lattice Embolization System (SEAL™). The versatile utility of the SEAL™ device is demonstrated in a patient with acute subarachnoid hemorrhage (SAH) from a ruptured, complex, left middle cerebral artery (MCA) trilobed shallow wide-necked bifurcation aneurysm. Deployment and implantation of the SEAL device were technically feasible, safe, and conformed well to the irregular shape of the complex, ruptured aneurysm. Immediate total aneurysm occlusion was observed after implantation. Importantly, 1-year angiographic follow-up demonstrated durable, complete occlusion with no safety concerns. The SEAL device is a promising new novel technology which has the potential to treat very shallow aneurysms with limited height and irregular, multilobulated aneurysms.

Original language	English (US)
Pages (from-to)	481-487
Number of pages	7
Journal	Interventional Neuroradiology
Volume	29
Issue number	4
DOIs	https://doi.org/10.1177/15910199231187048
State	Published - Aug 2023

Keywords

Saccular
aneurysm
endovascular
flow diversion
rupture

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Clinical Neurology
Cardiology and Cardiovascular Medicine

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10.1177/15910199231187048

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Pabon, B., Torres, V., Woodward, K., Cardozo, M., Tan, B., Chaubal, V., Badruddin, A., Wolfe, T., Pereira, E., Jankowitz, B., Costalat, V., Altschul, D., Langerford, C. A., & Zaidat, O. O. (2023). Treatment of a ruptured shallow trilobed cerebral aneurysm with the novel saccular endovascular aneurysm lattice (SEAL) device: A case report with one year follow-up. Interventional Neuroradiology, 29(4), 481-487. https://doi.org/10.1177/15910199231187048

Pabon, B, Torres, V, Woodward, K, Cardozo, M, Tan, B, Chaubal, V, Badruddin, A, Wolfe, T, Pereira, E, Jankowitz, B, Costalat, V, Altschul, D, Langerford, CA & Zaidat, OO 2023, 'Treatment of a ruptured shallow trilobed cerebral aneurysm with the novel saccular endovascular aneurysm lattice (SEAL) device: A case report with one year follow-up', Interventional Neuroradiology, vol. 29, no. 4, pp. 481-487. https://doi.org/10.1177/15910199231187048

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abstract = "Intrasaccular flow disruption is a viable alternative to other endovascular treatments for saccular or wide-necked bifurcation intracranial aneurysms; however, wide neck aneurysms with irregular shapes or shallow depth may not be amenable to treatment currently available intrasaccular devices. Here, we present the first ever case report of the novel Saccular Endovascular Aneurysm Lattice Embolization System (SEAL{\texttrademark}). The versatile utility of the SEAL{\texttrademark} device is demonstrated in a patient with acute subarachnoid hemorrhage (SAH) from a ruptured, complex, left middle cerebral artery (MCA) trilobed shallow wide-necked bifurcation aneurysm. Deployment and implantation of the SEAL device were technically feasible, safe, and conformed well to the irregular shape of the complex, ruptured aneurysm. Immediate total aneurysm occlusion was observed after implantation. Importantly, 1-year angiographic follow-up demonstrated durable, complete occlusion with no safety concerns. The SEAL device is a promising new novel technology which has the potential to treat very shallow aneurysms with limited height and irregular, multilobulated aneurysms.",

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AU - Cardozo, Margarita

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AU - Wolfe, Thomas

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AU - Costalat, Vincent

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AU - Zaidat, Osama O.

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AB - Intrasaccular flow disruption is a viable alternative to other endovascular treatments for saccular or wide-necked bifurcation intracranial aneurysms; however, wide neck aneurysms with irregular shapes or shallow depth may not be amenable to treatment currently available intrasaccular devices. Here, we present the first ever case report of the novel Saccular Endovascular Aneurysm Lattice Embolization System (SEAL™). The versatile utility of the SEAL™ device is demonstrated in a patient with acute subarachnoid hemorrhage (SAH) from a ruptured, complex, left middle cerebral artery (MCA) trilobed shallow wide-necked bifurcation aneurysm. Deployment and implantation of the SEAL device were technically feasible, safe, and conformed well to the irregular shape of the complex, ruptured aneurysm. Immediate total aneurysm occlusion was observed after implantation. Importantly, 1-year angiographic follow-up demonstrated durable, complete occlusion with no safety concerns. The SEAL device is a promising new novel technology which has the potential to treat very shallow aneurysms with limited height and irregular, multilobulated aneurysms.

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Treatment of a ruptured shallow trilobed cerebral aneurysm with the novel saccular endovascular aneurysm lattice (SEAL) device: A case report with one year follow-up

Abstract

Keywords

ASJC Scopus subject areas

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