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Updated: May 20, 2026

10:46
Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
Published on: May 26, 2015
A 6-Fr guiding catheter (Slim Guide(®)) for use with multiple microdevices.
Yutaka Kai1, Yuki Ohmori, Masaki Watanabe
1Department of Neurosurgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
Surgical Neurology International
|July 4, 2012
Summary
The new Slim Guide catheter simplifies complex aneurysm treatments. This large-lumen catheter facilitates advanced techniques for challenging wide-necked aneurysms, improving patient outcomes.
Area of Science:
- Neurosurgery
- Interventional Neuroradiology
- Vascular Surgery
Background:
- Advanced endovascular techniques are often necessary for treating wide-necked aneurysms.
- Existing guiding catheters can present limitations for complex aneurysm embolization.
- A new 6-Fr guiding catheter, Slim Guide, with a large lumen (0.072 inch) was developed.
Purpose of the Study:
- To evaluate the efficacy and safety of the Slim Guide catheter in treating complex aneurysms.
- To assess the feasibility of using the Slim Guide for advanced endovascular techniques.
Main Methods:
- The Slim Guide catheter was used in 50 patients with subarachnoid hemorrhage.
- Treatments included 30 saccular and 20 dissecting aneurysms.
- Advanced techniques involved double microcatheters (SL-10 or Excel 14) and balloon assist (Hyperform).
Main Results:
- The double microcatheter technique was used for all 20 dissecting aneurysms.
- For saccular aneurysms, 20 were treated with double microcatheters and 10 with balloon assist.
- Minor complications included slight interference in one case and a transient ischemic event in another.
Conclusions:
- The Slim Guide catheter may reduce risks associated with advanced endovascular techniques.
- This guiding catheter facilitates challenging coil embolization of complex aneurysms.

