Advantages and disadvantages of the ENVOY 6F distal access guiding catheter in endovascular coiling for anterior circulation aneurysms
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 5-10, 2019.
Article
in English
| WPRIM
| ID: wpr-785923
ABSTRACT
OBJECTIVE:
Selecting an appropriate guiding catheter to provide both sufficient supportability for working devices and sufficient distal navigability is essential for ensuring the success of a procedure. This study aimed to evaluate the advantages and disadvantages of using the ENVOY 6F distal access (DA) guiding catheter in coil embolization of anterior circulation cerebral aneurysms.METHODS:
We included 98 patients (72 [73.5%] women, median age 63 [range 25–84] years) who underwent endovascular coiling with the ENVOY 6F DA guiding catheter from May to November 2016. We analyzed data on patient demographics and the number of co-axial techniques to position the guiding catheter, initial and final location of the catheter, and complications related to the catheter.RESULTS:
The co-axial technique was used to position the ENVOY 6F DA guiding catheter in the internal carotid artery (ICA) in 20 cases (20.41%). The initial position of the ENVOY 6F DA guiding catheter involved the cervical ICA (79.6%), horizontal petrous ICA (17.3%), and vertical petrous ICA (3.1%). Final control angiograms after endovascular coiling showed proximal change in the final, compared to the initial, position of the ENVOY 6F DA guiding catheter in 25 cases (25.51%). Procedure-related complications were observed in nine patients (9.18%), involving vasospasm in all cases; however, there was no symptomatic case.CONCLUSION:
The ENVOY 6F DA guiding catheter had relatively sufficient distal navigability without symptomatic procedural complications. However, the change in the catheter position after endovascular coiling denoted insufficient supportability.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Catheterization
/
Carotid Arteries
/
Carotid Artery, Internal
/
Intracranial Aneurysm
/
Cerebrovascular Circulation
/
Demography
/
Embolization, Therapeutic
/
Catheters
/
Aneurysm
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Cerebrovascular and Endovascular Neurosurgery
Year:
2019
Type:
Article
Similar
MEDLINE
...
LILACS
LIS