Precision microcatheter shaping in vertebrobasilar aneurysm coiling

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
Katsunari NambaKensuke Kawai

Abstract

Inventing an optimal curve on a microcatheter is required for successful intracranial aneurysm coiling. Shaping microcatheters for vertebrobasilar artery aneurysm coiling is difficult because of the vessel's long, tortuous and mobile anatomy. To overcome this problem, we devised a new method of shaping the microcatheter by using the patient's specific vessel anatomy and the highly shapable microcatheter. We report our preliminary results of treating posterior circulation aneurysms by this method. An unshaped microcatheter (Excelsior XT-17; Stryker Neurovascular, Fremont, CA, USA) was pretreated by exposure to the patient's vessel for five minutes. The microcatheter was placed in the vicinity of the targeted aneurysm and was left in contact with the patient's vessel before extraction. This treatment precisely formed a curve on the microcatheter shaft identical to the patient's vessel anatomy. Following the pretreatment, the tip of the microcatheter was steam shaped according to the long axis of the target aneurysm. Five consecutive vertebrobasilar aneurysms were treated using this shaping method and evaluated for the clinical and anatomical outcomes and microcatheter accuracy and stability. All of the designed microcatheters mat...Continue Reading

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Citations

Sep 30, 2019·Journal of Neurointerventional Surgery·Y XuB Dong
Sep 30, 2019·Journal of Neuroradiology. Journal De Neuroradiologie·Bikei RyuYasunari Niimi

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Software Mentioned

Excelsior

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