Document Detail


Technique for shaping microcatheter tips in coil embolization of paraclinoid aneurysms using full-scale volume rendering images of 3D rotational angiography.
MedLine Citation:
PMID:  19838977     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: In coil embolization of paraclinoid aneurysms, it is sometimes difficult to introduce and stabilize microcatheter tips in the aneurysms. We report a new technique for shaping microcatheter tips in the coil embolization of paraclinoid aneurysms. METHODS: From May 2007 to May 2008, this new technique was applied to 10 paraclinoid aneurysms undergoing coil embolization. Before coil embolization, 3D rotational angiography was performed, and volume-rendering images were reconstructed. Vinyl-coated handicraft wire was shaped 3-dimensionally to fit full-scale volume-rendering images on the monitor, from the C5 portion of the internal carotid artery to the center of the dome of the aneurysm from various angles. The microcatheter tip was then shaped with steam to fit the vinyl-coated wire. Thereafter, the microcatheter tip was introduced into the aneurysm and coil embolization was performed. RESULTS: Microcatheter tips could be easily shaped and could be introduced smoothly into aneurysms, and were stable during coil embolization. CONCLUSION: This technique is feasible for shaping microcatheter tips precisely for coil embolization of paraclinoid aneurysms.
Authors:
S Toyota; Y Fujimoto; F Iwamoto; A Wakayama; T Yoshimine
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Publication Detail:
Type:  Journal Article     Date:  2009-10-16
Journal Detail:
Title:  Minimally invasive neurosurgery : MIN     Volume:  52     ISSN:  1439-2291     ISO Abbreviation:  Minim Invasive Neurosurg     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-10-19     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9440973     Medline TA:  Minim Invasive Neurosurg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  201-3     Citation Subset:  IM    
Copyright Information:
Georg Thieme Verlag KG Stuttgart * New York.
Affiliation:
Center for Endovascular Neurosurgery, Osaka Neurological Institute, Toyonaka, Osaka, Japan. stshto@aol.com
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MeSH Terms
Descriptor/Qualifier:
Blood Vessel Prosthesis
Carotid Artery, Internal / pathology,  radiography
Carotid Artery, Internal, Dissection / pathology,  radiography*,  therapy*
Catheterization / instrumentation*,  methods
Cerebral Angiography / methods*
Device Removal / methods
Embolization, Therapeutic / instrumentation*,  methods
Equipment Design / methods
Humans
Image Enhancement / methods
Image Processing, Computer-Assisted / methods
Imaging, Three-Dimensional / instrumentation,  methods*
Intracranial Aneurysm / pathology,  radiography,  therapy
Intraoperative Care
Intraoperative Complications / prevention & control
Sphenoid Bone / anatomy & histology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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