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Related Experiment Videos

An endovascular retrieving device for use in small vessels

V B Graves1, A H Rappe, T P Smith

  • 1Department of Radiology, University of Wisconsin Clinical Science Center, Madison 53792-0001.

AJNR. American Journal of Neuroradiology
|July 1, 1993
PubMed
Summary

A novel retrieval device demonstrated high success in retrieving foreign bodies from small canine arteries. This new snare offers effective retrieval of embolic coils and catheter fragments in various critical vascular locations.

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Area of Science:

  • Vascular surgery
  • Medical device innovation
  • Interventional radiology

Background:

  • Foreign body retrieval in small vessels poses significant challenges.
  • Existing devices may have limitations in accessing or effectively removing embolic materials and iatrogenic fragments.
  • Minimally invasive retrieval techniques are crucial for reducing patient morbidity.

Purpose of the Study:

  • To evaluate the efficacy and safety of a new retrieval device designed for small vessel applications.
  • To assess the device's performance in retrieving various types of foreign bodies from a range of arterial locations.
  • To determine the feasibility of selective placement in challenging anatomical areas.

Main Methods:

  • A canine model was utilized to simulate clinical scenarios.

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  • Retrieval attempts were performed on 25 embolic coils, 3 silicone balloons, and 5 catheter/guide wire fragments.
  • The device was tested in multiple arteries including renal, pulmonary, hepatic, brachiocephalic, subclavian, carotid, and maxillary.
  • Selective placement in vertebral and proximal basilar arteries was also assessed.
  • Main Results:

    • The retrieval device achieved a high success rate of 91% (30 out of 33 attempts).
    • Successful retrieval was demonstrated across a variety of embolic materials and vessel types.
    • The device showed selective placement capability in deep and tortuous vessels like the vertebral and basilar arteries.

    Conclusions:

    • The new retrieval device is highly effective for removing foreign bodies from small and critical arteries.
    • Its high success rate and selective placement capability make it a promising tool for interventional procedures.
    • This device potentially offers a safer and more efficient option for managing retained materials in vascular interventions.