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Navigating complexity: a comprehensive review of microcatheter shaping techniques in endovascular aneurysm embolization
The endovascular intervention technique has gained prominence in the treatment of intracranial aneurysms due to its minimal invasiveness and shorter recovery time. A critical step of the intervention is the shaping of the microcatheter, which ensures its accurate placement and stability within the a...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620933/ https://www.ncbi.nlm.nih.gov/pubmed/37928161 http://dx.doi.org/10.3389/fneur.2023.1245817 |
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author | Liu, Changya Wu, Xinxin Hu, Xuebin Wu, Linguangjin Guo, Kaikai Zhou, Shuang Fang, Bangjiang |
author_facet | Liu, Changya Wu, Xinxin Hu, Xuebin Wu, Linguangjin Guo, Kaikai Zhou, Shuang Fang, Bangjiang |
author_sort | Liu, Changya |
collection | PubMed |
description | The endovascular intervention technique has gained prominence in the treatment of intracranial aneurysms due to its minimal invasiveness and shorter recovery time. A critical step of the intervention is the shaping of the microcatheter, which ensures its accurate placement and stability within the aneurysm sac. This is vital for enhancing coil placement and minimizing the risk of catheter kickback during the coiling process. Currently, microcatheter shaping is primarily reliant on the operator's experience, who shapes them based on the curvature of the target vessel and aneurysm location, utilizing 3D rotational angiography or CT angiography. Some researchers have documented their experiences with conventional shaping methods. Additionally, some scholars have explored auxiliary techniques such as 3D printing and computer simulations to facilitate microcatheter shaping. However, the shaping of microcatheters can still pose challenges, especially in cases with complex anatomical structures or very small aneurysms, and even experienced operators may encounter difficulties, and there has been a lack of a holistic summary of microcatheter shaping techniques in the literature. In this article, we present a review of the literature from 1994 to 2023 on microcatheter shaping techniques in endovascular aneurysm embolization. Our review aims to present a thorough overview of the various experiences and techniques shared by researchers over the last 3 decades, provides an analysis of shaping methods, and serves as an invaluable resource for both novice and experienced practitioners, highlighting the significance of understanding and mastering this technique for successful endovascular intervention in intracranial aneurysms. |
format | Online Article Text |
id | pubmed-10620933 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-106209332023-11-03 Navigating complexity: a comprehensive review of microcatheter shaping techniques in endovascular aneurysm embolization Liu, Changya Wu, Xinxin Hu, Xuebin Wu, Linguangjin Guo, Kaikai Zhou, Shuang Fang, Bangjiang Front Neurol Neurology The endovascular intervention technique has gained prominence in the treatment of intracranial aneurysms due to its minimal invasiveness and shorter recovery time. A critical step of the intervention is the shaping of the microcatheter, which ensures its accurate placement and stability within the aneurysm sac. This is vital for enhancing coil placement and minimizing the risk of catheter kickback during the coiling process. Currently, microcatheter shaping is primarily reliant on the operator's experience, who shapes them based on the curvature of the target vessel and aneurysm location, utilizing 3D rotational angiography or CT angiography. Some researchers have documented their experiences with conventional shaping methods. Additionally, some scholars have explored auxiliary techniques such as 3D printing and computer simulations to facilitate microcatheter shaping. However, the shaping of microcatheters can still pose challenges, especially in cases with complex anatomical structures or very small aneurysms, and even experienced operators may encounter difficulties, and there has been a lack of a holistic summary of microcatheter shaping techniques in the literature. In this article, we present a review of the literature from 1994 to 2023 on microcatheter shaping techniques in endovascular aneurysm embolization. Our review aims to present a thorough overview of the various experiences and techniques shared by researchers over the last 3 decades, provides an analysis of shaping methods, and serves as an invaluable resource for both novice and experienced practitioners, highlighting the significance of understanding and mastering this technique for successful endovascular intervention in intracranial aneurysms. Frontiers Media S.A. 2023-10-19 /pmc/articles/PMC10620933/ /pubmed/37928161 http://dx.doi.org/10.3389/fneur.2023.1245817 Text en Copyright © 2023 Liu, Wu, Hu, Wu, Guo, Zhou and Fang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Liu, Changya Wu, Xinxin Hu, Xuebin Wu, Linguangjin Guo, Kaikai Zhou, Shuang Fang, Bangjiang Navigating complexity: a comprehensive review of microcatheter shaping techniques in endovascular aneurysm embolization |
title | Navigating complexity: a comprehensive review of microcatheter shaping techniques in endovascular aneurysm embolization |
title_full | Navigating complexity: a comprehensive review of microcatheter shaping techniques in endovascular aneurysm embolization |
title_fullStr | Navigating complexity: a comprehensive review of microcatheter shaping techniques in endovascular aneurysm embolization |
title_full_unstemmed | Navigating complexity: a comprehensive review of microcatheter shaping techniques in endovascular aneurysm embolization |
title_short | Navigating complexity: a comprehensive review of microcatheter shaping techniques in endovascular aneurysm embolization |
title_sort | navigating complexity: a comprehensive review of microcatheter shaping techniques in endovascular aneurysm embolization |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620933/ https://www.ncbi.nlm.nih.gov/pubmed/37928161 http://dx.doi.org/10.3389/fneur.2023.1245817 |
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