Computer-assisted microcatheter shaping for intracranial aneurysm embolization: evaluation of safety and efficacy in a multicenter randomized controlled trial

Yang, Heng; Ni, Wei; Xu, Liquan; Geng, Jiewen; He, Xiaofu; Ba, Hua-Jun; Yu, Jianjun; Lan, Qing; Yin, Yin; Huang, Yufei; Zhang, Hongqi; Gu, Yuxiang

doi:10.1136/jnis-2023-020104

Cited by 1 publication

(1 citation statement)

References 28 publications

(38 reference statements)

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“…Ultimately, all 30 microcatheters accurately entered the aneurysmal sac, while 25 achieved satisfactory results in terms of position within the sac and intraoperative stability (illustrated in Figure 4 ) ( 6 ). In a recently published multicenter randomized controlled study on the clinical application of this software ( 49 ), 101 patients underwent treatment with computer-assisted microcatheter shaping technology (CAMS group), while another 100 patients underwent conventional manual microcatheter shaping methods (MMS group). The result indicated that the CAMS group showed significant superiority over the MMS group in terms of the success rate of the first attempt (96.0 vs. 66.0%, P < 0.001), success rate of microcatheter placement within 5 min (96.0 vs. 72.0%, P < 0.001), microcatheter stability (97.0 vs. 84.0%, P = 0.002), and excellent delivery performance without microwire guidance (45.5 vs. 24.0%, P < 0.001).…”

Section: Methods and Search Strategymentioning

confidence: 99%

Navigating complexity: a comprehensive review of microcatheter shaping techniques in endovascular aneurysm embolization

Liu,

Wu,

et al. 2023

Front. Neurol.

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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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Section: Methods and Search Strategymentioning

confidence: 99%