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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...

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Autores principales: Liu, Changya, Wu, Xinxin, Hu, Xuebin, Wu, Linguangjin, Guo, Kaikai, Zhou, Shuang, Fang, Bangjiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
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.
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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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