Distal-tip shape-consistency testing of steam-shaped microcatheters suitable for cerebral aneurysm coil placement.

Distal-tip shape-consistency testing of steam-shaped microcatheters suitable for cerebral aneurysm coil placement. Research Abstract Details 

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Distal-tip shape-consistency testing of steam-shaped microcatheters suitable for cerebral aneurysm coil placement. Abstract Text:

Toshi Abe,Masaru Hirohata,Norimitsu Tanaka,Yusuke Uchiyama,Kiminori Fujimoto,Naoko Fujimura,Alexander M Norbash,Naofumi Hayabuchi,

BACKGROUND AND PURPOSE: Although the selection of microcatheter for endovascular aneurysmal treatment is one important factor in patient outcome, the use of steam shaping for achieving safe entry and stability during coil placement has not, to our knowledge, been systematically evaluated. The goal of this study was to compare the durability of distal microcatheter steam shaping in five different catheters with typical intraprocedural stresses that are similar to those encountered during aneurysm coil placement. METHODS: Distal tips of microcatheters were shaped into a 90 degrees turn with distal straight-segment lengths of 3, 5, or 7 mm by using steam, performed according to the instructions for use included with each catheter. In a water bath kept at body temperature, the changes in catheter tip angle were recorded and measured following microcatheter insertion into a guiding catheter, microguidewire insertion through the microcatheter, and Guglielmi detachable coil (GDC) placement through the microcatheter. RESULTS: The degree of distal microcatheter straightening with typical intraprocedural manipulations was more pronounced on braided microcatheters and on microcatheters with 3- or 5-mm distal-shaped segments. The degree of spontaneous recovery of the initially steamed shape was more pronounced with nonbraided catheters. The most significant single variable contributing to straightening of a steam-shaped catheter tip was the effect of microguidewire insertion. The catheter-tip straightening effect encountered with inserting GDCs was less than that encountered with microguidewire insertion. We demonstrated that the decreased catheter-tip angle encountered with a large-magnitude straightening stress spontaneously recovered once the stress was removed or when it was reduced to a smaller magnitude stress. CONCLUSION: Our study shows that, although braided microcatheters are suitable for maintaining durable configurations when long distal-tip lengths are permissible, nonbraided microcatheters demonstrate the most durable distal-tip configurations when short distal-tip lengths are called for. This may be one of significant factors in catheter choice for endovascular treatment of aneurysm.

Distal-tip shape-consistency testing of steam-shaped microcatheters suitable for cerebral aneurysm coil placement. Publishing Authors By Initials

T Abe,M Hirohata,N Tanaka,Y Uchiyama,K Fujimoto,N Fujimura,AM Norbash,N Hayabuchi,

For similar biomechanics: stress, mechanical research abstracts see: biomechanics: stress, mechanical research

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Distal-tip shape-consistency testing of steam-shaped microcatheters suitable for cerebral aneurysm coil placement. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: AJNR. American journal of neuroradiology

VOLUME: 25

Page Numbers: 1058-61

Journal Abbreviation:

ISSN: 0195-6108

DAY: 14

MONTH: 02

YEAR: 2008

Distal-tip shape-consistency testing of steam-shaped microcatheters suitable for cerebral aneurysm coil placement. Information

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LANGUAGE: eng

NlmUniqueID: 8003708

Distal-tip shape-consistency testing of steam-shaped microcatheters suitable for cerebral aneurysm coil placement. Keywords Mesh Terms:

KEYWORDS: Stress, Mechanical

MESH TERMS: therapy

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Grant and Affiliation Information for Distal-tip shape-consistency testing of steam-shaped microcatheters suitable for cerebral aneurysm coil placement.

AFFILIATION: Department of Radiology, Kurume University School of Medicine, Fukuoka, Japan.

Country: United States

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MEDLINETA: AJNR Am J Neuroradiol

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