New steerable, ultra-low-profile, fixed-wire angioplasty catheter: Initial experience with the Cordis Orion™ steerable PTCA balloon catheter

Background Achieving distal access and flow control are of significant importance for the treatment of intracerebral arteriovenous shunting lesions. The Scepter Mini catheter is a low-profile, dual-lumen balloon catheter, designed to provide navigability in small-caliber, tortuous intracranial vessels. Objective To describe the initial experience of the Scepter Mini catheter in the treatment of pediatric arteriovenous malformations and fistulas. Methods A single-institution, retrospective chart review identified all consecutive uses of the Scepter Mini catheter for endovascular embolization of vascular malformations in the pediatric population. Results Three different arterial pedicles were embolized with the Scepter Mini catheter in two different patients. One patient was diagnosed with a vein of Galen malformation that had undergone multiple treatments and the other with a torcular dural arteriovenous fistula. All cases encompassed quite challenging tortuosity of small-caliber feeders which prevented the use of another microcatheter. The Scepter Mini catheter navigated into feeding arteries of diameters 0.65, 1.9, and 1.25 mm, and its balloon was inflated to achieve excellent blood flow control. Total obliteration (100%) of the shunting lesion was achieved in both cases. No reflux, pedicle rupture or other untoward effects were observed. Both patients had an uneventful recovery. Conclusion The Scepter Mini catheter afforded fast and safe distal access, flow control, and treatment of arteriovenous malformations in this initial pediatric cohort. The catheter’s low profile and easy navigability should support its use in tortuous and small arterial feeders, especially in the pediatric population.

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Abstract 1122‐000090: Initial Experience with the Scepter Mini; Embolization of Vascular Malformations in the Pediatric Population

Stroke: Vascular and Interventional Neurology ◽

10.1161/svin.01.suppl_1.000090 ◽

2021 ◽

Vol 1 (S1) ◽

Author(s):

Stavros Matsoukas ◽

Devin Bageac ◽

Kurt Yaeger ◽

Alejandro Berenstein ◽

Johanna Fifi ◽

...

Keyword(s):

Flow Control ◽

Arteriovenous Malformations ◽

Vascular Malformations ◽

Pediatric Population ◽

Balloon Catheter ◽

Retrospective Chart Review ◽

Endovascular Embolization ◽

Uneventful Recovery ◽

Initial Experience ◽

Low Profile

Introduction : Achieving distal access and flow control provides a significant advantage for the treatment of intracerebral arteriovenous shunting lesions. The Scepter Mini Catheter (SMC) is a low‐profile, dual‐lumen balloon catheter, designed to provide navigability in small‐caliber, tortuous intracranial vessels. We sought to describe the initial experience of the SMC in the treatment of pediatric arteriovenous malformations and fistulas. Methods : A single‐institution, retrospective chart review identified all consecutive uses of the SMC for endovascular embolization of vascular malformations in the pediatric population. Results : Three different arterial pedicles were embolized with the SMC in two different patients. One patient was diagnosed with a vein of Galen malformation that had undergone multiple treatments and the other with a torcular dural arteriovenous fistula. All cases encompassed quite challenging tortuosity of small‐caliber feeders which precluded the use of another balloon microcatheter. The SMC navigated into feeding arteries of diameters 0.65, 1.9 and 1.25 mm, and its balloon was inflated to achieve excellent blood flow control. Total obliteration (100%) of the shunting lesion was achieved in both cases. No reflux, pedicle rupture or other untoward effects were observed. Both patients had an uneventful recovery. Conclusions : The SMC afforded fast and safe distal access, flow control and treatment of arteriovenous malformations in this initial pediatric cohort. The catheter’s low profile and easy navigability should support its use in tortuous and small arterial feeders, especially in the pediatric population.

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Initial experience with the Europass™: A new ultra-low profile monorail balloon catheter

Catheterization and Cardiovascular Diagnosis ◽

10.1002/ccd.1810330117 ◽

1994 ◽

Vol 33 (1) ◽

pp. 76-79 ◽

Cited By ~ 2

Author(s):

Marco Zimarino ◽

Thierry Corcos ◽

Xavier Favereau ◽

Corrado Tamburino ◽

Marcel Toussaint ◽

...

Keyword(s):

Balloon Catheter ◽

Initial Experience ◽

Low Profile

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Initial Experience with a Low Profile, High Energy Excimer Laser Catheter for Heavily Calcified Coronary Lesion Debulking: Parameters and Results of First Seven Human Case Experiences

Journal of Interventional Cardiology ◽

10.1111/j.1540-8183.2001.tb00354.x ◽

2001 ◽

Vol 14 (4) ◽

pp. 433-437 ◽

Cited By ~ 10

Author(s):

ERIC B. FRETZ ◽

PATTY SMITH ◽

J. DAVID HILTON

Keyword(s):

Excimer Laser ◽

High Energy ◽

Human Case ◽

Initial Experience ◽

Coronary Lesion ◽

Low Profile

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Initial Experience with the New Double-lumen Scepter Balloon Catheter for Treatment of Wide-necked Aneurysms

Korean Journal of Radiology ◽

10.3348/kjr.2013.14.5.832 ◽

2013 ◽

Vol 14 (5) ◽

pp. 832 ◽

Cited By ~ 10

Author(s):

Myung Ho Rho ◽

Byung Moon Kim ◽

Sang Hyun Suh ◽

Dong Joon Kim ◽

Dong Ik Kim

Keyword(s):

Balloon Catheter ◽

Initial Experience ◽

Double Lumen

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Abstract TMP120: Endovascular Balloon-Assisted Embolization of Intracranial Arteriovenous Malformations Using Dual Lumen Co-Axial Balloon Microcatheters and Onyx: Initial Experience.

Stroke ◽

10.1161/str.44.suppl_1.atmp120 ◽

2013 ◽

Vol 44 (suppl_1) ◽

Author(s):

Bharathi D Jagadeesan ◽

Mikayel Grigoryan ◽

Ameer E Hassan ◽

Andrew W Grande ◽

Ramachandra P Tummala

Keyword(s):

Arteriovenous Malformations ◽

Balloon Catheter ◽

Arterial Embolization ◽

Initial Experience ◽

Intracranial Arteriovenous Malformations ◽

Balloon Inflation ◽

Ethylene Vinyl Alcohol ◽

Catheter Navigation ◽

Brain Avms ◽

Vessel Rupture

Background: Ethylene Vinyl alcohol co-polymer (Onyx) is widely used for embolization of intracranial arteriovenous malformations. Traditional catheter based techniques for Onyx infiltration may be associated with reflux of Onyx resulting in cathteter retention, vessel rupture or reflux into en-passage arteries. Balloon assisted Onyx embolization may eliminate some of these problems encountered with traditional catheter based techniques. Herein, we report our initial experience in performing balloon assisted AVM embolization for brain AVMs and dural AVFs using the new Scepter-C and Scepter-XC co- axial dual lumen balloon microcatheters. Methods: Balloon-assisted trans-arterial embolization was carried out in a series of six patients (5 with brain AVMs, one with a dural AVF ) using Onyx delivered through the lumen of Scepter-C or Scepter XC co-axial balloon microcatheters. Following initial balloon-catheter navigation into a feeding artery as close to the nidus of the malformation as possible, and subsequent balloon inflation, embolization was performed using Onyx 18 or Onyx 34 or both. The balloon was delated and removed once adequate embolization had been achieved. Results: A total of ten embolization sessions were performed via fifteen arterial feeders in these five patients. In one out of fifteen vessels (7%), there was a quickly controlled arterial perforation from balloon inflation, in all others embolization goals for each session were successfully achieved with no adverse events. Conclusion: We found that the balloon microcatheters showed excellent navigability and there were no problems with retrieval or repeated inflation and deflation of the balloons. Using this technique, we were able to avoid the need for formation of a proximal Onyx plug and its associated risks. Additionally, fluoroscopy and procedural times seemed lower with this technique compared to conventional embolization methods.

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