Neurointerventional Materials

Christopher J. Moran; De Witte T. Cross III; Colin P. Derdeyn

doi:10.1055/s-2002-36745

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2002; 19(4): 289-312
DOI: 10.1055/s-2002-36745

Neurointerventional Materials

Christopher J. Moran¹ , DeWitte T. Cross, III² , Colin P. Derdeyn³

¹Neuroradiology Section, Mallinckrodt Institute of Radiology at Washington University Medical Center, St. Louis, Missouri
²Department of Interventional Neuroradiology, Mallinckrodt Institute of Radiology at Washington University Medical Center, St. Louis, Missouri
³Endovascular Surgical Neuroradiology, Neuroradiology Section, Mallinckrodt Institute of Radiology at Washington University Medical Center, St. Louis, Missouri

Abstract

ABSTRACT

Neurointerventional procedures began with the mating of small balloons with small catheters to take advantage of blood flow to reach and treat high-flow lesions. The field grew with the development of microcatheters that were carried by flow to their destination. The flow of the fistula or arteriovenous malformation could then be obstructed. These advances led to explosive growth after the development of microguidewires and microcatheters. The interventionalist was no longer restricted to treating high-flow lesions but could access normal-flow or even reduced-flow lesions. Aneurysms could be filled with balloons, coils, or permanent liquids. Flow could be rearranged by deposition of platinum microcoils. With angioplasty or thrombolysis, reduced or absent flow could be restored to normal. Medications could now be delivered in the desired vessel distribution to treat tumors or vasospasm or to test the function of the territory supplied by the injected vessel. New embolic agents and innovative uses of existing agents have expanded the treatment options for numerous disorders. Physician and patient enthusiasm for these techniques and materials has spurred extensive commercial interest and innovation. The coming years will see the introduction of many more new devices and agents for the treatment of difficult intracranial processes. The only restraints will be the physical limitations of the materials and drugs developed to treat central nervous system disorders.

KEYWORD

Interventional materials - microcatheters - microguidewires - guide catheters - PVA - coils - glue - balloons

Full Text

References

REFERENCES

1 Serbinenko F A. Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg . 1974; 41 125-145
2 Debrun G, Lacour P, Caron J-P. Detachable balloon and calibrated-leak balloon techniques in the treatment of cerebral vascular lesions. J Neurosurg . 1978; 48 635-649
3 Kerber C. Balloon catheter with a calibrated leak; a new system for superselective angiography and occlusive catheter. Radiology . 1976; 120 547-550
4 Kerber C, Heilman C B. New calibrated-leak microcatheters for cyanoacrylate embolization and chemotherapy. AJNR Am J Neuroradiol . 1985; 6 434-436
5 Kikuchi Y, Strother C M, Boyer M. New catheter for endovascular interventional procedures. Radiology . 1987; 165 870-871
6 Dion J E, Duckwiler G R, Lylyk P. Progressive suppleness Pursil catheter: a new tool for superselective angiography and embolization. AJNR Am J Neuroradiol . 1989; 10 1068-1070
7 Chavis T D. FasTRACKER-18. Neurosurgery . 1996; 38 1249-1250
8 Moran C J, Kido D K, Cross III T D. Cerebral vascular angiography: indications, technique and normal anatomy of the head. In: Baum S, ed. Abrams Angiography, 4th ed Boston, MA: Little, Brown & Co. 1997: 241-283
9 Moran C J, Milburn J M, Cross III T D. Randomized controlled trial of sheaths in diagnostic neuroangiography. Radiology . 2001; 218 183-187
10 Debrun G, Viñuela F V, Fox A J. Aspirin and systemic heparinization in diagnostic and interventional neuroradiology. AJNR Am J Neuroradiol . 1982; 3 337-340
11 Mabry C D, Thompson B W, Read R C, Campbell G S. Activated clotting time monitoring of intraoperative heparinization: our experience and comparison of two techniques. Surgery . 1981; 90 889-895
12 Zoarski G H, Mathis J M, Hebel J R. Performance characteristics of microcatheter systems in a standardized tortuous pathway. AJNR Am J Neuroradiol . 1998; 19 1571-1576
13 Derdeyn C P, Moran C P, Cross D T. Polyvinyl alcohol particle size and suspension characteristics. AJNR Am J Neuroradiol . 1995; 16 1335-1343
14 Repa I, Moradian G P, Dehner L P. Mortalities associated with use of a commercial suspension of polyvinyl alcohol. Radiology . 1989; 170 395-399
15 Barr J D, Lemley T J, Petrochko C N. Polyvinyl alcohol foam particle sizes and concentrations injectable through microcatheters. J Vasc Interv Radiol . 1998; 9 113-118
16 Purdy P D, Batjer H H, Risser R C, Samson D. Arteriovenous malformations of the brain: choosing embolic materials to enhance safety and ease of excision. J Neurosurg . 1992; 77 217-222
17 Sorimachi T, Koike, Takeuchi S. Embolization of cerebral arteriovenous malformations achieved with polyvinyl alcohol particles: angiographic reappearance and complications. AJNR Am J Neuroradiol . 1999; 20 1323-1328
18 Germano I M, Davis R L, Wilson C B, Hieshima G B. Histopathological follow-up study of 66 cerebral arteriovenous malformations after therapeutic embolization with polyvinyl alcohol. J Neurosurg . 1992; 76 607-614
19 Davidson G S, Tergbrugge K G. Histologic long-term follow-up after embolization with polyvinyl alcohol particles. AJNR Am J Neuroradiol . 1995; 16 843-846
20 Schmutz F, McAuliffe W, Anderson D M. Embolization of cerebral arteriovenous malformations with silk: histopathologic changes in hemorrhagic complications. AJNR Am J Neuroradiol . 1997; 18 1233-1237
21 Deveikis J P, Manz H G, Luessenhop A J. A clinical and neuropathologic study of silk suture as an embolic agent for brain arteriovenous malformations. AJNR Am J Neuroradiol . 1994; 15 263-271
22 Derdeyn C P, Graves V B, Salamat M S, Rappe A. "Collagen-coated" acrylic microspheres for embolotherapy: in vivo and in vitro characteristics. AJNR Am J Neuroradiol . 1997; 18 647-653
23 Kumar A J, Kaufman S L, Patt J. Preoperative embolization of hypervascular head and neck neoplasms using microfibrillar collagen. AJNR Am J Neuroradiol . 1982; 3 163-168
24 Fox A J, Lee D H, Pelz D M. A thrombotic mixture as a "polymerizing" agent. AJNR Am J Neuroradiol . 1988; 9 1029
25 Berenstein A, Russell E. Gelatin sponge in therapeutic neuroradiology: a subject review. Radiology . 1981; 141 105-112
26 Hilal S K, Khandji A G, Chi T L. Synthetic fiber-coated platinum coils successfully used for the endovascular treatment of arteriovenous malformations, aneurysms and direct arteriovenous fistulas of the CNS. AJNR Am J Neuroradiol . 1988; 9 1030
27 Graves V B, Rappe A H, Smith T P. An endovascular retrieving device for use in small vessels. AJNR Am J Neuroradiol . 1993; 14 804-808
28 Smith T P, Graves V B, Halbach V V. Microcatheter retrieval device for intravascular foreign body removal. AJNR Am J Neuoradiol . 1993; 14 809-811
29 Spiegel S M, Viñuela F, Goldwasser J M. Adjusting the polymerization time of isobutyl-2 cyanoacrylate. AJNR Am J Neuroradiol . 1986; 7 109-112
30 Jafar J J, Davis A J, Berenstein A. The effect of embolization with N-butyl cyanoacrylate prior to surgical resection of cerebral arteriovenous malformations. J Neurosurg . 1993; 78 60-69
31 Vinters H V, Lundie M J, Kaufmann J CE. Long-term pathological follow-up of cerebral arteriovenous malformations treated by embolization with bucrylate. N Engl J Med . 1986; 314 477-483
32 Brothers M F, Kaufmann J CE, Fox A J, Deveikis J P. N-butyl 2-cyanoacrylate-substitute for IBCA in interventional neuroradiology: histopathologic and polymerization time studies. AJNR Am J Neuroradiol . 1989; 10 777-786
33 Casasco A, Herbreteau D, Houdart E. Devascularization of craniofacial tumor by percutaneous tumor puncture. AJNR Am J Neuroradiol . 1994; 15 1233-1239
34 Casasco A, Houdart E, Biondi A. Major complications of percutaneous embolization of skull-base tumors. AJNR Am J Neuroradiol . 1999; 20 179-181
35 Yakes W F, Krauth L, Ecklund J. Ethanol endovascular management of brain arteriovenous malformations: initial results. Neurosurgery . 1997; 40 1145-1154
36 Yakes F, Rossi P, Odink H. Arteriovenous malformation management. Cardiovasc Intervent Radiol . 1996; 19 65-71
37 Yakes W F, Parker S H, Gibson M D. Alcohol embolotherapy of vascular malformations. Semin Intervent Radiol . 1989; 6 146-161
38 Dee R, Finkelstein J E. Treatment of varicose veins: sclerotherapy with compression or stripping with multiple ligations. Angiology . 1977; 28 223-227
39 Dubois J M, Sebag G H, De Prost Y. Soft-tissue venous malformations in children: percutaneous sclerotherapy with Ethibloc. Radiology . 1991; 180 195-198
40 Murayama Y, Viñuela F, Ulhoa A. Nonadhesive liquid embolic agent for cerebral arteriovenous malformations: preliminary histopathological studies in swine rete mirabile. Neurosurgery . 1998; 48 1164-1175
41 Murayama Y, Vinuela F, Jahan R. Nonadhesive liquid embolic agent for the treatment of cerebral arteriovenous malformations: long-term histopathological studies in swine rete mirabile and preliminary clinical results in North America. J Neurosurg . 1999; 90 193A
42 Mathis J M, Barr J D, Jungreis C A, Horton J A. Physical characteristics of balloon catheter systems used in temporary cerebral artery occlusion. AJNR Am J Neuroradiol . 1994; 15 1831-1836
43 Nelson M. A versatile, steerable, flow-guided catheter for delivery of detachable balloons. AJNR Am J Neuroradiol . 1990; 11 657-658
44 Higashida R T, Halback V V, Dormandy B. Endovascular treatment of intracranial aneurysms with a new silicone microballoon device: technical considerations and indications for therapy. Radiology . 1990; 174 687-691
45 Hawkins T D, Staz K F. The permeability of detachable latex rubber balloons; an in vitro study. Invest Radiol . 1987; 22 969-972
46 Taki W, Handa H, Yamagata S. Radiopaque solidifying liquids for releasable balloon technique: a technical note. Surg Neurol . 1980; 13 140-142
47 Monsein L H, Debrun G, Chazaly J R. Hydroxyethyl methylacrylate and latex balloons. AJNR Am J Neuroradiol . 1990; 11 663-664
48 Koenigsberg R A, Mysoki M, Weiss J. Risk of clot formation on femoral arterial sheaths maintained overnight for neuroangiographic procedures. AJNR Am J Neuroradiol . 1999; 20 297-299
49 Duda S H, Wiskirchen J, Erb M. Suture-mediated percutaneous closure of antegrade femoral arterial access sites in patients who have received full anticoagulation therapy. Radiology . 1999; 210 47-52
50 Morris P, Braden G. Neurointerventional experience with an arteriotomy suture device. AJNR Am J Neuroradiol . 1999; 20 1706-1709