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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Use of the Microangiographic Fluoroscope for Coiling of Intracranial Aneurysms
Neurosurgery, v 69(5), pp 1131-1138
01 Nov 2011
PMID: 21694658
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUND: Neurointervention is an ever-evolving specialty with tools including microcatheters, microwires, and coils that allow treatment of pathological conditions in increasingly smaller intracranial arteries, requiring increasing accuracy. As endovascular tools evolve, so too should the imaging.
OBJECTIVE: To detail the use of microangiography performed with a novel fluoroscope during coiling of intracranial aneurysms in 2 separate patients and discuss the benefits and potential limitations of the technology.
METHODS: The microangiographic fluoroscope (MAF) is an ultra high-resolution x-ray detector with superior resolution over a small field of view. The MAF can be incorporated into a standard angiographic C-arm system for use during endovascular procedures.
RESULTS: The MAF was useful for improved visualization during endovascular coiling of 2 unruptured intracranial aneurysms, without adding significant time to the procedure. No significant residual aneurysm filling was identified post-coiling, and no complications occurred.
CONCLUSION: The MAF is a high-resolution detector developed for use in neurointerventional cases in which superior image quality over a small field of view is required. It has been used with success for coiling of 2 unruptured aneurysms at our institution. It shows promise as an important tool in improving the accuracy with which neurointerventionists can perform certain intracranial procedures.
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Details
- Title
- Use of the Microangiographic Fluoroscope for Coiling of Intracranial Aneurysms
- Creators
- Mandy J. Binning - Kaleida HealthDavid Orion - Kaleida HealthParham Yashar - Kaleida HealthSharon Webb - Kaleida HealthCiprian N. Ionita - University at Buffalo, State University of New YorkAmit Jain - University at Buffalo, State University of New YorkStephen Rudin - University at Buffalo, State University of New YorkL. Nelson Hopkins - University at Buffalo, State University of New YorkAdnan H. Siddiqui - University at Buffalo, State University of New YorkElad I. Levy - University at Buffalo, State University of New York
- Publication Details
- Neurosurgery, v 69(5), pp 1131-1138
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 8
- Grant note
- Boston Scientific ev3/Covidien Vascular Therapies Toshiba Cordis R01EB002873 / NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Biomedical Imaging & Bioengineering (NIBIB) R01NS43924; R01EB002873; NINDS 1R01NS064592-01A1 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA Codman & Shurtleff, Inc. Abbott; Abbott Laboratories R01NS038746 / NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurology
- Web of Science ID
- WOS:000295835300041
- Scopus ID
- 2-s2.0-80053633786
- Other Identifier
- 991021918106204721
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Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Clinical Neurology
- Surgery