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The Versatile Distal Access Catheter: the Cleveland Clinic Experience.
MedLine Citation:
PMID:  21311375     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND:: Vascular access is fundamental to any endovascular intervention. Concentric Medical (Mountain View, CA) has developed the Outreach Distal Access Catheter (DAC), which affords stable access at the target vessel modulating the forces at play within the thrombectomy device complex. The DAC has fortuitously provided a device with novel access characteristics useful in a host of other types of clinical scenarios. OBJECTIVE:: To review our experience with the DAC family of devices, the theory, and method of use. METHODS:: A retrospective review of all cases in which the DAC catheter was used during 2008-2010 was conducted, and the cases classified by indication. Catheter related complications were recorded. The use of the DAC in a variety of settings including intracranial stenting, aneurysm coil embolization, and arteriovenous malformation embolization is described. RESULTS:: One hundred and three cases were performed on 93 patients between August 2008 and February 2010 using a DAC catheter. Indications included acute stroke, treatment of intracranial atherosclerosis, vasospasm therapy, AVM embolization, and aneurysm embolization. In those cases, 113 catheters were used. No complications directly attributable to DAC catheter use were identified. CONCLUSION:: The DAC is useful for gaining access to the cerebral vasculature, especially in patients with significant tortuosity or when re-access of distal vasculature is required multiple times.
Authors:
Alejandro M Spiotta; Muhammad S Hussain; Thinesh Sivapatham; Mark Bain; Rishi Gupta; Shaye I Moskowitz; Ferdinand K Hui
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-09
Journal Detail:
Title:  Neurosurgery     Volume:  -     ISSN:  1524-4040     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Cerebrovascular Center, Neurological Institute, Cleveland Clinic; 2Department of Neurological Surgery, Cleveland Clinic; and 3Division of Neurology, Vanderbilt University.
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