TY - JOUR
T1 - The versatile distal access catheter
T2 - The Cleveland clinic experience
AU - Spiotta, Alejandro M.
AU - Hussain, Muhammad S.
AU - Sivapatham, Thinesh
AU - Bain, Mark
AU - Gupta, Rishi
AU - Moskowitz, Shaye I.
AU - Hui, Ferdinand K.
PY - 2011/6/1
Y1 - 2011/6/1
N2 - Background: Vascular access is fundamental to any endovascular intervention. Concentric Medical has developed the Outreach Distal Access Catheter (DAC), which affords stable access at the target vessel modulating the forces at play within the thrombectomy device complex. The DAC is a device with novel access characteristics useful in a host of other types of clinical scenarios. Objective: To review our experience with the DAC family of devices, the theory, and method of use. Methods: A retrospective review of all cases in which the DAC was used during the period 2008 to 2010 was conducted and the cases classified by indication. Catheter-related complications were recorded. The use of the DAC in a variety of settings including intracranial stenting, aneurysm coil embolization, and arteriovenous malformation embolization is described. Results: The DAC was used in 103 procedures performed in 93 patients between August 2008 and February 2010. Indications included acute stroke, treatment of intracranial atherosclerosis, vasospasm therapy, arteriovenous malformation embolization, and aneurysm embolization. In those procedures, 113 catheters were used. No complications directly attributable to DAC use were identified. Conclusion: The DAC is useful for gaining access to the cerebral vasculature, especially in patients with significant tortuosity or when re-access of distal vasculature is required multiple times.
AB - Background: Vascular access is fundamental to any endovascular intervention. Concentric Medical has developed the Outreach Distal Access Catheter (DAC), which affords stable access at the target vessel modulating the forces at play within the thrombectomy device complex. The DAC is a device with novel access characteristics useful in a host of other types of clinical scenarios. Objective: To review our experience with the DAC family of devices, the theory, and method of use. Methods: A retrospective review of all cases in which the DAC was used during the period 2008 to 2010 was conducted and the cases classified by indication. Catheter-related complications were recorded. The use of the DAC in a variety of settings including intracranial stenting, aneurysm coil embolization, and arteriovenous malformation embolization is described. Results: The DAC was used in 103 procedures performed in 93 patients between August 2008 and February 2010. Indications included acute stroke, treatment of intracranial atherosclerosis, vasospasm therapy, arteriovenous malformation embolization, and aneurysm embolization. In those procedures, 113 catheters were used. No complications directly attributable to DAC use were identified. Conclusion: The DAC is useful for gaining access to the cerebral vasculature, especially in patients with significant tortuosity or when re-access of distal vasculature is required multiple times.
KW - Distal access catheter
KW - Microcatheter stability
KW - Neurointerventional technique Neurosurgery
UR - http://www.scopus.com/inward/record.url?scp=79955883537&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79955883537&partnerID=8YFLogxK
U2 - 10.1227/NEU.0b013e31820edfd8
DO - 10.1227/NEU.0b013e31820edfd8
M3 - Article
C2 - 21311375
AN - SCOPUS:79955883537
SN - 0148-396X
VL - 68
SP - 1677
EP - 1686
JO - Neurosurgery
JF - Neurosurgery
IS - 6
ER -