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Research ArticleTechnical Note

Use of the Outreach Distal Access Catheter for Microcatheter Stabilization during Intracranial Arteriovenous Malformation Embolization

M.J. Binning, P. Yashar, D. Orion, E.F. Hauck, E.I. Levy, L.N. Hopkins and A.H. Siddiqui
American Journal of Neuroradiology October 2012, 33 (9) E117-E119; DOI: https://doi.org/10.3174/ajnr.A2547
M.J. Binning
aFrom the Department of Neurosurgery and Toshiba Stroke Research Center (M.J.B., P.Y., D.O., E.F.H., E.I.L., L.N.H., A.H.S.)
cSchool of Medicine and Biomedical Sciences, University at Buffalo, State University of New York
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P. Yashar
aFrom the Department of Neurosurgery and Toshiba Stroke Research Center (M.J.B., P.Y., D.O., E.F.H., E.I.L., L.N.H., A.H.S.)
cSchool of Medicine and Biomedical Sciences, University at Buffalo, State University of New York
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D. Orion
aFrom the Department of Neurosurgery and Toshiba Stroke Research Center (M.J.B., P.Y., D.O., E.F.H., E.I.L., L.N.H., A.H.S.)
cSchool of Medicine and Biomedical Sciences, University at Buffalo, State University of New York
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E.F. Hauck
aFrom the Department of Neurosurgery and Toshiba Stroke Research Center (M.J.B., P.Y., D.O., E.F.H., E.I.L., L.N.H., A.H.S.)
cSchool of Medicine and Biomedical Sciences, University at Buffalo, State University of New York
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E.I. Levy
aFrom the Department of Neurosurgery and Toshiba Stroke Research Center (M.J.B., P.Y., D.O., E.F.H., E.I.L., L.N.H., A.H.S.)
bDepartment of Radiology (E.I.L., L.N.H., A.H.S.)
cSchool of Medicine and Biomedical Sciences, University at Buffalo, State University of New York
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L.N. Hopkins
aFrom the Department of Neurosurgery and Toshiba Stroke Research Center (M.J.B., P.Y., D.O., E.F.H., E.I.L., L.N.H., A.H.S.)
bDepartment of Radiology (E.I.L., L.N.H., A.H.S.)
cSchool of Medicine and Biomedical Sciences, University at Buffalo, State University of New York
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A.H. Siddiqui
aFrom the Department of Neurosurgery and Toshiba Stroke Research Center (M.J.B., P.Y., D.O., E.F.H., E.I.L., L.N.H., A.H.S.)
bDepartment of Radiology (E.I.L., L.N.H., A.H.S.)
cSchool of Medicine and Biomedical Sciences, University at Buffalo, State University of New York
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Abstract

SUMMARY: The Outreach DAC is an intermediate-sized catheter designed for use with the Merci clot retriever in acute stroke. We investigated its utility as an adjunctive device during AVM pedicle embolization. In the authors' opinion, the DAC provided additional guide-catheter and microcatheter support, improved selective angiographic visualization of AVM angioarchitecture, aided microcatheter removal from its embedded position in the AVM Onyx cast, and enhanced local microcatheter control and safety, compared with embolization with the guide and microcatheter alone.

ABBREVIATIONS:

AVM
arteriovenous malformation
DAC
Distal Access Catheter
DSA
digital subtraction angiography
n-BCA
n-butyl 2-cyanoacrylate
  • © 2012 by American Journal of Neuroradiology
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American Journal of Neuroradiology: 33 (9)
American Journal of Neuroradiology
Vol. 33, Issue 9
1 Oct 2012
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Use of the Outreach Distal Access Catheter for Microcatheter Stabilization during Intracranial Arteriovenous Malformation Embolization
M.J. Binning, P. Yashar, D. Orion, E.F. Hauck, E.I. Levy, L.N. Hopkins, A.H. Siddiqui
American Journal of Neuroradiology Oct 2012, 33 (9) E117-E119; DOI: 10.3174/ajnr.A2547

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Use of the Outreach Distal Access Catheter for Microcatheter Stabilization during Intracranial Arteriovenous Malformation Embolization
M.J. Binning, P. Yashar, D. Orion, E.F. Hauck, E.I. Levy, L.N. Hopkins, A.H. Siddiqui
American Journal of Neuroradiology Oct 2012, 33 (9) E117-E119; DOI: 10.3174/ajnr.A2547
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