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Updated: May 31, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Use of the Outreach Distal Access Catheter for microcatheter stabilization during intracranial arteriovenous
M J Binning1, P Yashar, D Orion
1Department of Neurosurgery and Toshiba Stroke Research Center, University at Buffalo, State University of New York, NY, USA.
Abstract:
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.
