Literature DB >> 34515567

Evaluation of the differences in pressure applied to the vessel wall by different types of balloon remodeling microcatheters in an experimental model.

Mizuka Ikezawa1, Takashi Izumi1, Masahiro Nishihori1, Tetsuya Tsukada1, Yosuke Tamari1,2, Yoshio Araki1, Kinya Yokoyama1, Kenji Uda1, Shunsaku Goto1, Asuka E Kropp1, Takafumi Otsuka1, Naoki Kato1, Mizuki Nakano1, Ryuta Saito1.   

Abstract

BACKGROUND: We examined compliance differences among balloon remodeling microcatheters, which have not been established previously.
METHODS: Straight and 120° angulated vascular models were created in a 3 mm diameter tube with 3 mm hole (vascular model A), a tube with a 4 mm hole (vascular model B), and a 4 mm diameter tube (vascular model C). We compared the pressure exerted when each balloon was herniated 1 or 2 mm between three compliant balloons (SHOURYU SR, TransForm C, and Scepter C) and four super-compliant balloons (HyperForm, SHOURYU HR, TransForm SC, and Scepter XC).
RESULTS: In vascular model A, there was a significant difference in the pressure exerted by compliant balloons and super-compliant balloons in both the straight and angulated models. In the straight model (1 and 2 mm), the lowest pressure was exerted by HyperForm (super-compliant balloons group) and SHOURYU SR (compliant balloons group). The lowest pressure was exerted in the angulated model by HyperForm (super-compliant balloons group) and Scepter C (compliant balloons group). The Scepter balloon exerted higher pressure in the straight model than other balloon remodeling microcatheters but less in the angulated model. In vascular model B, the pressure decreased in all balloons compared with model A. In vascular model C, the pressure increased in all balloons compared with model A.
CONCLUSIONS: Pressure differed across balloon remodeling microcatheters. In addition, vessel shape and diameter, and hole size, affected the results. Our findings can help select balloon remodeling microcatheters.

Entities:  

Keywords:  Balloon catheter; balloon embolization; endovascular; intracranial aneurysm

Mesh:

Year:  2021        PMID: 34515567      PMCID: PMC9185095          DOI: 10.1177/15910199211031765

Source DB:  PubMed          Journal:  Interv Neuroradiol        ISSN: 1591-0199            Impact factor:   1.764


  12 in total

1.  Temporary balloon protection as an adjunct to endosaccular coiling of wide-necked cerebral aneurysms: technical note.

Authors:  R A Mericle; A K Wakhloo; R Rodriguez; L R Guterman; L N Hopkins
Journal:  Neurosurgery       Date:  1997-10       Impact factor: 4.654

2.  PTCA in angulated segments: effects of balloon material, balloon length, and inflation sequence on straightening forces in an in vitro model.

Authors:  E Barasch; J L Conger; K A Kadipasaoglu; J J Peters; K Nesdahl; J G Fenimore; J M Wilson; W K Vaughn; J J Ferguson
Journal:  Cathet Cardiovasc Diagn       Date:  1996-10

3.  The "Remodelling Technique" in the Treatment of Wide Neck Intracranial Aneurysms. Angiographic Results and Clinical Follow-up in 56 Cases.

Authors:  J Moret; C Cognard; A Weill; L Castaings; A Rey
Journal:  Interv Neuroradiol       Date:  2001-05-15       Impact factor: 1.610

Review 4.  Safety and efficacy of balloon remodeling technique during endovascular treatment of intracranial aneurysms: critical review of the literature.

Authors:  L Pierot; C Cognard; L Spelle; J Moret
Journal:  AJNR Am J Neuroradiol       Date:  2011-02-24       Impact factor: 3.825

5.  Guidelines for percutaneous transluminal coronary angioplasty. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Subcommittee on Percutaneous Transluminal Coronary Angioplasty).

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Journal:  Circulation       Date:  1988-08       Impact factor: 29.690

6.  Balloon assistance as a routine adjunct to the endovascular treatment of cerebral aneurysms.

Authors:  Ian B Ross; Gurmeet S Dhillon
Journal:  Surg Neurol       Date:  2006-10-06

7.  HyperForm balloon remodeling in the endovascular treatment of anterior cerebral, middle cerebral, and anterior communicating artery aneurysms: clinical and angiographic follow-up results in 800 consecutive patients.

Authors:  H Saruhan Cekirge; Kivilcim Yavuz; Serdar Geyik; Isil Saatci
Journal:  J Neurosurg       Date:  2010-05-14       Impact factor: 5.115

8.  Comparing Occlusive Balloon Performance Using 3-Dimensional Printed Models of Intracranial Aneurysmal Defects.

Authors:  Joseph Knox; Ryan Sincic; David B McCoy; Colby Sostarich; Daniel L Cooke
Journal:  World Neurosurg       Date:  2020-11-13       Impact factor: 2.104

9.  Critical pressure for arterial wall rupture in major human cerebral arteries.

Authors:  Bogdan Ciszek; Krzysztof Cieślicki; Pawel Krajewski; Stefan K Piechnik
Journal:  Stroke       Date:  2013-08-27       Impact factor: 7.914

10.  Fatal rupture of the intracranial carotid artery during transluminal angioplasty for vasospasm induced by subarachnoid hemorrhage. Case report.

Authors:  M E Linskey; J A Horton; G R Rao; H Yonas
Journal:  J Neurosurg       Date:  1991-06       Impact factor: 5.115

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