Microcatheter Shape Adjustment during Coil Embolization with the Leonis Mova Steerable Microcatheter

Area of Science:

• Neurosurgery
• Interventional Neuroradiology
• Vascular Surgery

Background:

• Aneurysmal subarachnoid hemorrhage presents a significant neurological emergency.
• Microcatheters are crucial tools for minimally invasive treatment of cerebral aneurysms.
• The Leonis Mova is a steerable microcatheter designed for precise navigation.

Purpose of the Study:

• To report a case of aneurysmal subarachnoid hemorrhage treated with coil embolization.
• To evaluate the utility of the Leonis Mova microcatheter in a complex aneurysm case.

Main Methods:

• A 53-year-old female patient with a left internal carotid artery-posterior communicating artery aneurysm underwent coil embolization.
• The Leonis Mova Selective microcatheter was used in conjunction with the Excelsior SL-10 microcatheter via a double-catheter technique.
• The steerability of the Leonis Mova was utilized to meticulously fill aneurysm blebs.

Main Results:

• Successful coil embolization of a 7.5-mm aneurysm with multiple blebs was achieved.
• Almost complete obliteration of the aneurysm was obtained.
• The patient recovered well and was discharged after treatment for vasospasm.

Conclusions:

• The Leonis Mova microcatheter demonstrated utility in treating complex aneurysms with multiple blebs.
• Its steerable tip facilitates precise coil placement in challenging anatomies.
• This case highlights the potential of the Leonis Mova in endovascular treatment of cerebral aneurysms.