Novel aspiration catheter design for acute stroke thrombectomy. 2019

Troy D Long, and David F Kallmes, and Ricardo Hanel, and Tomoyoshi Shigematsu, and Alexander Michael Halaszyn, and Julia Wolter, and Alejandro Berenstein
North Memorial Medical Center, Robbinsdale, Minnesota, USA.

BACKGROUND Navigable, large diameter aspiration catheters demonstrate markedly improved recanalization rates over smaller lumen devices in suction embolectomy. We evaluated the performance of a novel aspiration catheter system designed to maximize lumen size, and compare it to other commercially available aspiration catheters. METHODS The 6F R4Q aspiration catheter system comprises a proximal pusher wire of 117 cm length connected to a distal catheter of 25 cm length. When placed through standard guide catheters and into the cerebral circulation, the proximal catheter makes a tight seal between its outer surface and the guide catheter's inner surface. During aspiration, in vitro flow rates and tip suction force under gentle retraction were compared among 10 commercially available aspiration catheters and the R4Q system. RESULTS The R4Q 6F, 5F, 4F, and 3F catheters achieved flow rates at least 21.9%, 24.7%, 61.9%, and 244.7% greater than the other catheters tested respectively and the R4Q 6F produced a 140.2% higher tip force than a catheter of similar size. Fluid flow rate in the R4Q 6F increased on retraction into the guide catheter, delivering a 58.2% increase from fully extended to fully retracted. CONCLUSIONS The R4Q design demonstrates a substantial increase in aspirated flow rate and suction force due to an increased effective diameter than standard tubular catheter designs tested. The prominent increase in the aspiration parameters measured in vitro supports the potential for improved clinical results during stroke thrombectomy procedures.

UI MeSH Term Description Entries
D004867 Equipment Design Methods and patterns of fabricating machines and related hardware. Design, Equipment,Device Design,Medical Device Design,Design, Medical Device,Designs, Medical Device,Device Design, Medical,Device Designs, Medical,Medical Device Designs,Design, Device,Designs, Device,Designs, Equipment,Device Designs,Equipment Designs
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013396 Suction The removal of secretions, gas or fluid from hollow or tubular organs or cavities by means of a tube and a device that acts on negative pressure. Aspiration, Mechanical,Drainage, Suction,Aspirations, Mechanical,Drainages, Suction,Mechanical Aspiration,Mechanical Aspirations,Suction Drainage,Suction Drainages,Suctions
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D017131 Thrombectomy Surgical removal of an obstructing clot or foreign material from a blood vessel at the point of its formation. Removal of a clot arising from a distant site is called EMBOLECTOMY. Aspiration Thrombectomy,Percutaneous Aspiration Thrombectomy,Aspiration Thrombectomies,Aspiration Thrombectomies, Percutaneous,Aspiration Thrombectomy, Percutaneous,Percutaneous Aspiration Thrombectomies,Thrombectomies,Thrombectomies, Aspiration,Thrombectomies, Percutaneous Aspiration,Thrombectomy, Aspiration,Thrombectomy, Percutaneous Aspiration
D057785 Catheters A flexible, tubular device that is used to carry fluids into or from a blood vessel, hollow organ, or body cavity. Catheter
D019152 Paracentesis A procedure in which fluid is withdrawn from a body cavity or organ via a trocar and cannula, needle, or other hollow instrument. Centesis,Culdocentesis,Puncture and Aspiration,Puncture and Drainage,Aspiration and Puncture,Centeses,Culdocenteses,Drainage and Puncture,Paracenteses
D020521 Stroke A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810) Apoplexy,Cerebral Stroke,Cerebrovascular Accident,Cerebrovascular Apoplexy,Vascular Accident, Brain,CVA (Cerebrovascular Accident),Cerebrovascular Accident, Acute,Cerebrovascular Stroke,Stroke, Acute,Acute Cerebrovascular Accident,Acute Cerebrovascular Accidents,Acute Stroke,Acute Strokes,Apoplexy, Cerebrovascular,Brain Vascular Accident,Brain Vascular Accidents,CVAs (Cerebrovascular Accident),Cerebral Strokes,Cerebrovascular Accidents,Cerebrovascular Accidents, Acute,Cerebrovascular Strokes,Stroke, Cerebral,Stroke, Cerebrovascular,Strokes,Strokes, Acute,Strokes, Cerebral,Strokes, Cerebrovascular,Vascular Accidents, Brain

Related Publications

Troy D Long, and David F Kallmes, and Ricardo Hanel, and Tomoyoshi Shigematsu, and Alexander Michael Halaszyn, and Julia Wolter, and Alejandro Berenstein
September 2021, Journal of neurointerventional surgery,
Troy D Long, and David F Kallmes, and Ricardo Hanel, and Tomoyoshi Shigematsu, and Alexander Michael Halaszyn, and Julia Wolter, and Alejandro Berenstein
December 2023, Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences,
Troy D Long, and David F Kallmes, and Ricardo Hanel, and Tomoyoshi Shigematsu, and Alexander Michael Halaszyn, and Julia Wolter, and Alejandro Berenstein
March 2022, Postepy w kardiologii interwencyjnej = Advances in interventional cardiology,
Troy D Long, and David F Kallmes, and Ricardo Hanel, and Tomoyoshi Shigematsu, and Alexander Michael Halaszyn, and Julia Wolter, and Alejandro Berenstein
June 2021, Japanese journal of radiology,
Troy D Long, and David F Kallmes, and Ricardo Hanel, and Tomoyoshi Shigematsu, and Alexander Michael Halaszyn, and Julia Wolter, and Alejandro Berenstein
July 2023, Journal of neurointerventional surgery,
Troy D Long, and David F Kallmes, and Ricardo Hanel, and Tomoyoshi Shigematsu, and Alexander Michael Halaszyn, and Julia Wolter, and Alejandro Berenstein
June 2019, Acta neurochirurgica,
Troy D Long, and David F Kallmes, and Ricardo Hanel, and Tomoyoshi Shigematsu, and Alexander Michael Halaszyn, and Julia Wolter, and Alejandro Berenstein
December 2017, Journal of neurointerventional surgery,
Troy D Long, and David F Kallmes, and Ricardo Hanel, and Tomoyoshi Shigematsu, and Alexander Michael Halaszyn, and Julia Wolter, and Alejandro Berenstein
June 2016, Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences,
Troy D Long, and David F Kallmes, and Ricardo Hanel, and Tomoyoshi Shigematsu, and Alexander Michael Halaszyn, and Julia Wolter, and Alejandro Berenstein
December 2022, Journal of neurointerventional surgery,
Troy D Long, and David F Kallmes, and Ricardo Hanel, and Tomoyoshi Shigematsu, and Alexander Michael Halaszyn, and Julia Wolter, and Alejandro Berenstein
October 2018, Journal of neurointerventional surgery,
Copied contents to your clipboard!