DOI QR코드

DOI QR Code

Invention of the Guide Catheter Irrigation Monitoring Device for Neuroendovascular Therapy

  • Ozkul, Ayca (Department of Neurology, Adnan Menderes University) ;
  • Park, Jong-Hyun (Department of Neurosurgery, Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Shin, Dong-Seung (Department of Neurosurgery, Bucheon Hospital, Soonchunhyang University College of Medicine) ;
  • Yilmaz, Ali (Depatment of Neurosurgery, Adnan Menderes University) ;
  • Kim, Bum-Tae (Department of Neurosurgery, Bucheon Hospital, Soonchunhyang University College of Medicine)
  • Received : 2017.01.05
  • Accepted : 2017.02.06
  • Published : 2017.07.01

Abstract

Objective : The thromboembolic events during neuroendovascular therapy (NET) are the major complications of concern that can be occasionally fatal. The thrombotic occlusion of the guide catheter for NET is thought to be the risk of the thromboembolic events. We have developed an idea for inventing the monitoring system of the continuous irrigation through the guide catheter. We herein present a unique invention of the guide catheter irrigation monitoring device. Methods : We have developed ideas for preventing the thrombotic occlusion of the guide catheter. In order to design a convenient device working in the practical use, we have consulted and shared the ideas with the electrical engineers about putting the invention. Results : The guide catheter irrigation monitoring device (GCIMD) consisted of three parts of optical sensor, main body and electric adapter. In brief, the basic principles of working of the GCIMD are as follows. The optical sensor is attached to the dripping chamber of the line to irrigation solution. The main body had the small light and speaker to make an alarm sounds. The sensor monitors the dripping of flush solution. If the dripping stops more than three seconds, a warning alarm has been activated. So, the operating physicians can concentrate and check the guide catheter irrigation. After the use of the GCIMD, there was no major thromboembolic complication in conjunction with the thrombotic occlusion of the guide catheter in our institute. Conclusion : We have developed a brilliant invention of the GCIMD for NET.

Keywords

References

  1. Ahn SH, Prince EA, Dubel GJ : Basic neuroangiography : review of technique and perioperative patient care. Semin Intervent Radiol 30 : 225-233, 2013 https://doi.org/10.1055/s-0033-1353474
  2. Bendszus M, Koltzenburg M, Burger R, Warmuth-Metz M, Hofmann E, Solymosi L : Silent embolism in diagnostic cerebral angiography and neurointerventional procedures: a prospective study. Lancet 354 : 1594-1597, 1999 https://doi.org/10.1016/S0140-6736(99)07083-X
  3. Heiserman JE, Dean BL, Hodak JA, Flom RA, Bird CR, Drayer BP, et al. : Neurologic complications of cerebral angiography. AJNR Am J Neuroradiol 15 : 1401-1407; discussion 1408-1411, 1994
  4. Jurga J, Nyman J, Tornvall P, Mannila MN, Svenarud P, van der Linden J, et al. : Cerebral microembolism during coronary angiography: a randomized comparison between femoral and radial arterial access. Stroke 42 : 1475-1477, 2011 https://doi.org/10.1161/STROKEAHA.110.608638
  5. Kaufmann TJ, Huston J 3rd, Mandrekar JN, Schleck CD, Thielen KR, Kallmes DF : Complications of diagnostic cerebral angiography: evaluation of 19,826 consecutive patients. Radiology 243 : 812-819, 2007 https://doi.org/10.1148/radiol.2433060536
  6. Omran H, Schmidt H, Hackenbroch M, Illien S, Bernhardt P, von der Recke G, et al. : Silent and apparent cerebral embolism after retrograde catheterisation of the aortic valve in valvular stenosis: a prospective, randomised study. Lancet 361 : 1241-1246, 2003 https://doi.org/10.1016/S0140-6736(03)12978-9
  7. Shin DS, Kim BT : Basic endovascualr techniques: Coil embolization of aneurysms in Kim BT (eds) : Essentials of Neurosurgical Procedures and Operations, ed 1. Seoul : Panmun, 2015, pp133-142
  8. Willinsky RA, Taylor SM, TerBrugge K, Farb RI, Tomlinson G, Montanera W : Neurologic complications of cerebral angiography: prospective analysis of 2,899 procedures and review of the literature. Radiology 227 : 522-528, 2003 https://doi.org/10.1148/radiol.2272012071
  9. Yilmaz A, Ozkul A, Shin DS, Im SB, Yoon SM, Kim BT : Morphological assessment of cadaveric radial, brachial and subclavian arteries: a neurointerventional approach. J Korean Neurosurg Soc 58 : 499-503, 2015 https://doi.org/10.3340/jkns.2015.58.6.499