A new approach in the treatment of ruptured intracranial aneurysms

There is now an alternative to balloon remodeling for the treatment of ruptured wide neck intracranial aneurysms. A recently published study in the Journal of NeuroInterventional Surgery examines the initial experience of the Cascade device (Perflow, Israel), a new “non-occlusive fully retrievable neck bridging device, designed to provide temporary support during coil embolization of intracranial aneurysms.”

Initial results are promising. The Cascade avoids parent vessel occlusion, often associated with balloon-assisted embolization, by placement of a temporal neck bridging device and maintains “continued parent vessel flow during intrasaccular embolization.”

In this new class of devices, the Cascade is unique in that it offers denser aneurysm neck coverage and avoids device/distal tip deflection during expansion. These design enhancements aim to provide improvements in performance during embolization, including elimination of device deflection-induced spasm and prevention of coil entanglement complications.

Find out more about why the authors find the Cascade to be “a safe and effective tool for adjunctive coil embolization of ruptured WNAs with no evidence of periprocedural device-related complication and an acceptable occlusion rate.”

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