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High-Resolution Angioscopic Imaging During Endovascular Neurosurgery

BACKGROUND: Endoluminal optical imaging, or angioscopy, has not seen widespread application during neurointerventional procedures, largely as a result of the poor imaging resolution of existing angioscopes. Scanning fiber endoscopes (SFEs) are a novel endoscopic platform that allows high-resolution...

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Autores principales: McVeigh, Patrick Z., Sacho, Raphael, Weersink, Robert A., Pereira, Vitor M., Kucharczyk, Walter, Seibel, Eric J., Wilson, Brian C., Krings, Timo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Neurosurgery 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086773/
https://www.ncbi.nlm.nih.gov/pubmed/24762703
http://dx.doi.org/10.1227/NEU.0000000000000383
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author McVeigh, Patrick Z.
Sacho, Raphael
Weersink, Robert A.
Pereira, Vitor M.
Kucharczyk, Walter
Seibel, Eric J.
Wilson, Brian C.
Krings, Timo
author_facet McVeigh, Patrick Z.
Sacho, Raphael
Weersink, Robert A.
Pereira, Vitor M.
Kucharczyk, Walter
Seibel, Eric J.
Wilson, Brian C.
Krings, Timo
author_sort McVeigh, Patrick Z.
collection PubMed
description BACKGROUND: Endoluminal optical imaging, or angioscopy, has not seen widespread application during neurointerventional procedures, largely as a result of the poor imaging resolution of existing angioscopes. Scanning fiber endoscopes (SFEs) are a novel endoscopic platform that allows high-resolution video imaging in an ultraminiature form factor that is compatible with currently used distal access endoluminal catheters. OBJECTIVE: To test the feasibility and potential utility of high-resolution angioscopy with an SFE during common endovascular neurosurgical procedures. METHODS: A 3.7-French SFE was used in a porcine model system to image endothelial disruption, ischemic stroke and mechanical thrombectomy, aneurysm coiling, and flow-diverting stent placement. RESULTS: High-resolution, video-rate imaging was shown to be possible during all of the common procedures tested and provided information that was complementary to standard fluoroscopic imaging. SFE angioscopy was able to assess novel factors such as aneurysm base coverage fraction and side branch patency, which have previously not been possible to determine with conventional angiography. CONCLUSION: Endovascular imaging with an SFE provides important information on factors that cannot be assessed fluoroscopically and is a novel platform on which future neurointerventional techniques may be based because it allows for periprocedural inspection of the integrity of the vascular system and the deployed devices. In addition, it may be of diagnostic use for inspecting the vascular wall and postprocedure device evaluation. ABBREVIATIONS: CFB, coherent fiber bundle F, French SFE, scanning fiber endoscope
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spelling pubmed-40867732014-07-09 High-Resolution Angioscopic Imaging During Endovascular Neurosurgery McVeigh, Patrick Z. Sacho, Raphael Weersink, Robert A. Pereira, Vitor M. Kucharczyk, Walter Seibel, Eric J. Wilson, Brian C. Krings, Timo Neurosurgery Research—Animal BACKGROUND: Endoluminal optical imaging, or angioscopy, has not seen widespread application during neurointerventional procedures, largely as a result of the poor imaging resolution of existing angioscopes. Scanning fiber endoscopes (SFEs) are a novel endoscopic platform that allows high-resolution video imaging in an ultraminiature form factor that is compatible with currently used distal access endoluminal catheters. OBJECTIVE: To test the feasibility and potential utility of high-resolution angioscopy with an SFE during common endovascular neurosurgical procedures. METHODS: A 3.7-French SFE was used in a porcine model system to image endothelial disruption, ischemic stroke and mechanical thrombectomy, aneurysm coiling, and flow-diverting stent placement. RESULTS: High-resolution, video-rate imaging was shown to be possible during all of the common procedures tested and provided information that was complementary to standard fluoroscopic imaging. SFE angioscopy was able to assess novel factors such as aneurysm base coverage fraction and side branch patency, which have previously not been possible to determine with conventional angiography. CONCLUSION: Endovascular imaging with an SFE provides important information on factors that cannot be assessed fluoroscopically and is a novel platform on which future neurointerventional techniques may be based because it allows for periprocedural inspection of the integrity of the vascular system and the deployed devices. In addition, it may be of diagnostic use for inspecting the vascular wall and postprocedure device evaluation. ABBREVIATIONS: CFB, coherent fiber bundle F, French SFE, scanning fiber endoscope Neurosurgery 2014-04-23 2014-08 /pmc/articles/PMC4086773/ /pubmed/24762703 http://dx.doi.org/10.1227/NEU.0000000000000383 Text en Copyright © 2014 by the Congress of Neurological Surgeons This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
spellingShingle Research—Animal
McVeigh, Patrick Z.
Sacho, Raphael
Weersink, Robert A.
Pereira, Vitor M.
Kucharczyk, Walter
Seibel, Eric J.
Wilson, Brian C.
Krings, Timo
High-Resolution Angioscopic Imaging During Endovascular Neurosurgery
title High-Resolution Angioscopic Imaging During Endovascular Neurosurgery
title_full High-Resolution Angioscopic Imaging During Endovascular Neurosurgery
title_fullStr High-Resolution Angioscopic Imaging During Endovascular Neurosurgery
title_full_unstemmed High-Resolution Angioscopic Imaging During Endovascular Neurosurgery
title_short High-Resolution Angioscopic Imaging During Endovascular Neurosurgery
title_sort high-resolution angioscopic imaging during endovascular neurosurgery
topic Research—Animal
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086773/
https://www.ncbi.nlm.nih.gov/pubmed/24762703
http://dx.doi.org/10.1227/NEU.0000000000000383
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