Our Favorite
5F Short Sheath
5F Glidecath and Glidewire
Alternative
5F Short Sheath
5F Glidecath XP and Glidewire
Tortuous Anatomy
6F Short Sheath
6F SIM II and Stiff Glide
Our Favorite
8F Short Sheath
Emboguard BGC (w/ 60cc manual suction)
Berry and Stiff Glide (to position BGC)
Cereglide 071 (w/ Vaclock or Suction pump)
SL-10 and Synchro (to cross lesion)
Embotrap SR
Cerenovus System
8F Short Sheath
Emboguard BGC (w/ 60cc manual suction)
Berry and Stiff Glide (to position BGC)
Cereglide 071 (w/ Vaclock or Suction pump)
SL-10 and Synchro (to cross lesion)
Embotrap SR sized to vessel
ADAPT w/ MARRS Millipede
8F Cook Shuttle 90cm
Berry and Stiff Glide (to position Shuttle)
Millipede 088 (w/ 60cc manual suction)
Millipede 070 or 055 (w/ Suction pump)
SL-10 and Synchro/Asahi (to cross lesion)
BMX/Red
8F Short Sheath
BMX 96 (w/ 60cc manual suction)
Berry and Stiff Glide (to position BMX)
Red 62 (w/ Vaclock or Suction pump)
Rebar-18 and Synchro (to cross lesion)
Solitaire SR sized to vessel
Red SENDit
8F Short Sheath
Emboguard BGC (w/ 60cc manual suction)
Berry and Stiff Glide (to position BGC)
Red 72 SENDit (w/ Vaclock or Suction pump)
Headway-21 and Traxess (to cross lesion)
Trevo SR sized to vessel
PICASSO
8F Short Sheath
Emboguard BGC (w/ 60cc manual suction)
Berry and Stiff Glide (to position BGC)
Cereglide 071 (w/ Vaclock or Suction pump)
SL-10 and Synchro (to cross lesion)
Embotrap SR sized to vessel start integration
Sterling balloon over Embotrap wire
Carotid stenting vs angioplasty
Followed by Embotrap thrombectomy
Our Favorite
6F Cook Shuttle 55cm
Neuron 070
Berry and Stiff Glide (to position Neuron)
SL-10 with Synchro (enter aneurysm neck)
Coils: TARGET, Cerepak, Axiom, etc.
Our Favorite
6F Cook Shuttle 55cm
Neuron 070
Berry and Stiff Glide (to position Neuron)
SL-10 with Synchro (enter aneurysm neck)
Coils: TARGET, Cerepak, Axiom, etc.
Pull SL-10 and cross w/ Synchro
Stent: ATLAS, LVIS, etc.
Dual Microcathetar
6F Cook Shuttle 55cm
Neuron 070
Berry and Stiff Glide (to position Neuron)
SL-10 with Synchro (enter aneurysm neck)
Framing coil partially depoloyed
2nd SL-10 with Synchro (cross aneurysm)
2° SL-10 Stent: ATLAS, LVIS, etc.
1° SL-10 Coils: TARGET, Cerepak, Axiom, etc.
Flow-Diverter Assisted
6F Cook Shuttle 55cm
Neuron 070
Berry and Stiff Glide (to position Neuron)
SL-10 with Synchro (enter aneurysm neck)
Framing coil partially depoloyed
2nd SL-10 with Synchro (cross aneurysm)
2° SL-10 FD: Pipeline, Surpass, FRED, etc.
1° SL-10 Coils: TARGET, Cerepak, Axiom, etc.
Our Favorite
LVIS
6F Cook Shuttle 55cm
Neuron 070
Berry and Stiff Glide (to position Neuron)
Headway 21 and Synchro
Stent: LVIS
Our Favorite
6F Cook Shuttle 90cm
Berry and Stiff Glide (to position Shuttle)
Phenom Plus intermediate
Phenom 27 and Synchro
FD: Pipeline Shield, Vantage, Surpass, FRED, etc.
Alternative
6F Cook Shuttle 90cm
Berry and Stiff Glide (to position Shuttle)
Navian 058 intermediate
Headway 27 with Synchro
FD: Pipeline Shield, Vantage, Surpass, FRED, etc.
Radial Access
6F Slender Sheath
6F RIST 071
Phenom Plus intermediate
Phenom 27 and Synchro
FD: Pipeline Shield, Vantage, Surpass, FRED, etc.
Our Favorite
8F Short Sheath
Neuron Max 088
Berry and Stiff Glide (to position Neuron)
6F Sophia 115cm
Headway 21 and Synchro
Intrassacular: WEB, SEAL, SEAL-Arc
Larger Devices
8F Short Sheath
Neuron Max 088
Berry and Stiff Glide (to position Neuron)
6F Sophia 115cm
XT-27 and Synchro
Intrassacular: WEB, SEAL, SEAL-Arc
Our Favorite
No ICA intracranial runs
5F Sheath
5F Envoy MPD with Glidewire (to ECA)
SL-10 and Synchro/Traxess (to distal MMA)
Flush SL-10 with 1cc dextrose x5
Prep nBCA (0.2cc nBCA + 1.0cc ethiodized oil)
Blank roadmap; inject until saturated
Negative pressure and SL-10 out to garbage
Onyx 18
No ICA intracranial runs
5F Sheath
5F Envoy MPD with Glidewire (to ECA)
Eschelon and Synchro/Traxess (to distal MMA)
Flush Eschleon dead space w/ DMSO
Inverted meniscus connection to Onyx 18
Blank roadmap; inject until saturated
Negative pressure and Eschelon out to garbage
Tortuous Anatomy
No ICA intracranial runs
7F Sheath
7F Armadillo (with support-lock system)
Berry and Glidewire (to position Armadillo)
Eschelon and Synchro/Traxess (to distal MMA)
Flush Eschleon dead space w/ DMSO
Inverted meniscus connection to Onyx 18
Blank roadmap; inject until saturated
Negative pressure and Eschelon out to garbage
Our Favorite
No arterial access
4F Venous Sheath
4F Glidecath with Glidewire (to IJ)
Progreat with Fathom (to SSS)
SSS run with intermittent manometry
Stent Placement
No arterial acces
8F Venous Sheath
Neuron Max 088
Glidecath with Glidewire (to IJ)
Progreat with Fathom (to SSS)
Stent: Wallstent with monorail
Ballooon: Sterling 8x40 post-plasty
Our Favorite
5F Sheath
5F Mickelson with Glidewire (to distal aorta)
Form in distal aorta and go up SC levels bilateral