FDA Adverse Event Injury Summary report: N

PIPELINE EMBOLIZATION DEVICE

MDR report key: 4508811 · Received February 11, 2015

Report

Report Number
2029214-2015-00113
Event Type
Injury
Date Received
February 11, 2015
Report Date
January 12, 2015
Manufacturer
COVIDIEN (IRVINE)
Product Code
OUT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT WAS CREATED TO CAPTURE THE 2 POST PROCEDURAL COMPLICATIONS AND THE 3 RETREATMENTS POST PIPELINE PROCEDURE FROM THE ARTICLE: ZANATY ET AL. FLOW DIVERSION VERSUS CONVENTIONAL TREATMENT FOR CAROTID CAVERNOUS ANEURYSMS. STROKE. 2014; 45:2656-2661. (B)(4).

Description of Event or Problem · 1

INFORMATION RECEIVED FROM THE ARTICLE: ZANATY ET AL. FLOW DIVERSION VERSUS CONVENTIONAL TREATMENT FOR CAROTID CAVERNOUS ANEURYSMS. STROKE. 2014; 45:2656-2661. ONE HUNDRED FIFTY-SEVEN PATIENTS WITH NO DIFFERENCE IN MEAN AGE AND MEAN SEX HARBORING ANEURYSMS LOCATED IN THE CAVERNOUS SEGMENT OF THE ICA (INTERNAL CAROTID ARTERY) WERE TREATED WITH PIPELINES, COILS (STENT ASSISTED), AND CAROTID VESSEL DESTRUCTION. PROCEDURAL COMPLICATIONS, ANGIOGRAPHIC RESULTS, AND CLINICAL OUTCOMES WERE ANALYZED AND COMPARED. . THE PATIENTS TREATED WITH PIPELINE HAD A SIGNIFICANTLY LOWER PROPORTION OF SMALL SIZE ANEURYSMS (<10 MM) AND A SHORTER FOLLOW-UP DURATION. FIFTY NINE PATIENTS RECEIVED PIPELINE DEVICES AND 48 OF THOSE PATIENTS ACHIEVED COMPLETE OCCLUSION OF THE ANEURYSM. OUT OF THE 59 PATIENTS WHO RECEIVED PIPELINES, ONE PATIENT HAD AN ANEURYSM RUPTURE POST TREATMENT AND ONE PATIENT HAD A HEMORRHAGIC STROKE POST PROCEDURE. THREE PIPELINE PATIENTS REQUIRED RETREATMENT AFTER THE INITIAL PROCEDURE DUE TO EITHER RECANALIZATION, FAILURE OF OCCLUSION, OR WORSENING OF SYMPTOMS. THERE WERE NO PROCEDURE RELATED DEATHS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
101543 PIPELINE EMBOLIZATION DEVICE INTRACRANIAL ANEURYSM FLOW DIVERTER OUT COVIDIEN (IRVINE)

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention| S