Hydrogel-coated coils are truly detachable coils with a
platinum core covered with
hydrogel. The coils are available in 0.018- and 0.035-in systems. These coils have the ability to expand up to four times their size ∼20 minutes after deployment, thus providing a very effective mechanical vascular occlusion effect. The vessel-occlusive effect of these coils is a volume, space-occupying effect, not a thrombotic effect, as seen in fibered coils.
Hydrogel-coated coils were originally developed and designed to treat
brain aneurysms; however, their use has expanded to peripheral applications.
Hydrogel-coated coils have been used in the management of visceral
aneurysms, high-flow vascular arteriovenous fistulae, and
endoleaks after endovascular thoracic and abdominal
aneurysm repair. The purpose of this article is to describe the
hydrogel-coated coil system, the mechanism of action, technical details for optimal deployment, and clinical applications.