HELPS Study:

HydroCoil Endovascular Aneurysm Occlusion and Packing Study
Hydrogel Embolic Coils

"These HELPS results reinforce coiling as an effective treatment for aneurysms, with an excellent technical success rate. Hydrogel coils can be used in a wide spectrum of aneurysms with a risk profile equivalent to that of bare platinum."

Patients

499

Countries

UK, US, France, Brazil, Germany, Australia, Argentina

Clinical Centers

24

Design

RCT (249 HES vs 250 BPC)

Scope

Patients 18-75 y.o., with ruptured or unruptured aneurysms of 2-25mm, WFNS 0-3.


For AN. 2-9.9mm: Hydrogel arm targeted to have > 50% packing w/gel or > 50% gel length deployed. For AN. ≥10mm: Hydrogel arm targeted to have > 2/3 gel length deployed or >70% packing w/gel.

Purpose

Compare safety and efficacy of HydroCoil vs platinum.

Endpoints

Composite outcome: Major aneurysm recurrence (Recurrence defined as adequate space in the aneurysm to deploy further coils) + morbidity/mortality preventing angiographic f/u, at 18 months

Efficacy results

  • Major recurrence at 18 months: 24% HES vs 33% BPC

  • Primary outcome event at 18 months: 28% HES vs 36% BPC

  • Packing density: 63.9% HES vs 23.2% BPC

  • Retreatment: 3.0% HES vs 4.0% BPC including cross-over (patients who switched treatment group)

Safety results

  • mRS >2 at 18 Months: 15.7% HES vs 12.8% BPC

LINK TO STUDY PAGE ISRCT Number: ISRCTN30531382


Please refer to Instruction for Use (IFU) in the specific market/country that you are looking into:

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