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Research ArticleINTERVENTIONAL

Shapability, Memory, and Luminal Changes in Microcatheters after Steam Shaping: A Comparison of 11 Different Microcatheters

Hiro Kiyosue, Yuzo Hori, Shunro Matsumoto, Mika Okahara, Syuichi Tanoue, Yoshiko Sagara and Hiromu Mori
American Journal of Neuroradiology November 2005, 26 (10) 2610-2616;
Hiro Kiyosue
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Yuzo Hori
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Shunro Matsumoto
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Mika Okahara
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Syuichi Tanoue
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Yoshiko Sagara
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Hiromu Mori
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Figures

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  • Fig 1.
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    Fig 1.

    Change of tip angle of a microcatheter.

    A, Initial tip angle. B, Tip angle following the water bath procedure for 10 minutes. C, Tip angle following guidewire procedure. D, Tip angle following the second water bath for 5 minutes.

  • Fig 2.
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    Fig 2.

    Shapability of small-sized catheters.

    Although the mean tip angle is increased according to increasing the intended tip angle in all catheters, Fas10 shows the highest shapability.

  • Fig 3.
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    Fig 3.

    Shapability of large-sized catheters. MF and Rg show higher shapability than the others.

  • Fig 4.
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    Fig 4.

    Durability of the shape of small-sized microcatheters. All microcatheters show reduction of tip angle after the microguidewire procedure (GW). The change rates are >10% in Fas 10 and Pg 2.0. At the final calculation, the Fas10 nonreinforced catheter shows high angle-recovery rates. All reinforced microcatheters except for Pg2.0 show similar change rates, <10%. Pg2.0 shows change rates >10% at the final calculation.

  • Fig 5.
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    Fig 5.

    Durability of the shape of large-sized microcatheters. RT and PP show reduction of the tip angle before the guidewire procedure. All microcatheters show reduction of the tip angle following the microguidewire procedure (GW). The change rates are >10% in RT and PP. At the final calculation, RT and PP show high reduction rates and final change rates >10%. PP90 and Rg show low reduction rates throughout the examination. The nonreinforced catheter MF shows the highest angle-recover rate.

  • Fig 6.
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    Fig 6.

    Luminal irregularities at the curved portion of the shaped microcatheters.

    A, Moderate irregularity (arrows) on the lesser curvature approximately 0.04 mm in peak-to-valley measurement in RT and Rg.

    B, Mild irregularity (arrows) on the lesser curvature approximately 0.015 mm in peak-to-valley measurement in Ex, Pg2.0, Rb14, and PP.

    C, Smooth surface on the lesser curvature in the other microcatheters.

Tables

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    TABLE 1:

    Characteristics of microcatheters

    Proximal OD(French)Distal OD(French)Distal ID(inch)ReinforcementMaterials
    Small size
        Excelsior 10182.62.0.019SS coilPEBAX
        Tracker Excel-142.41.9.017SS coilPEBAX
        Excelsior SL-102.41.7.0165SS coilPEBAX
        Progreat 2.0F2.72.0.020Tungsten coilUE
        Rebar 142.41.9.018SS coilNA
        FasTracker-102.62.0.015–PP + PE
    Large size
        Rapid Transit3.02.3.018SS coilPolyamide
        Prowler Plus3.02.3.018SS coilPolyamide
        Renegade-183.02.5.021Fiberbraid coilPEBAX
        Progreat 2.4F2.92.4.022Tungsten coilUE
        Microferret3.02.4.021–PE
        Prowler Plus MX3.02.3.018SS coilpolyamide
    • Note.—SS coil indicates stainless steel coil; PEBAX, polyether block amides; UE, urethan elastomer; PP, polypropylene; PE, polyethylene; NA, no information available.

    • View popup
    TABLE 2:

    Tip angle of each brand with intended angles of 90° and 150°

    90°150°
    Small size
        Excelsior 101851–57 (54)54–68 (62)
        Tracker Excel-1454–56 (55)70–74 (72)
        Excelsior SL-1051–57 (55)87–91 (89)
        Progreat 2.0F46–51 (48)86–93 (90)
        Rebar 1449–54 (51)88–92 (90)
        FasTracker-1064–77 (72)124–136 (130)
    Large size
        Rapid Transit40–43 (41)58–66 (62)
        Prowler Plus44–47 (45)76–80 (78)
        Renegade-1858–70 (62)111–117 (114)
        Progreat 2.4F47 (47)72–80 (76)
        Microferret64–77 (70)115–121 (117)
    • Notes.—Values are expressed as ranges followed by mean in parentheses.

    • View popup
    TABLE 3:

    Changes of the tip angle of each brand

    Initial Angle (°)10-min WaterbathGuidewire5-min Waterbath
    Small size
        Excelsior 101893–107 (97.2)90–104 (97.2)85–99 (90.6)92–106 (93.2)
        Tracker Excel-1494–105 101.0)97–112 (102.7)91–98 (93.6)92–101 (96.3)
        Excelsior SL-1096–101 (99.0)90–103 (96.3)86–90 (88.3)95–99 (97.0)
        Progreat 2.0F96–105 (100.6)91–108 (99.3)70–98 (84.6)78–97 (87.0)
        Rebar 1496–109 (105.6)96–105 (101.7)98–103 (100.0)94–107 (101.6)
        FasTracker-10110–115 (111.6)107–114 (109.6)93–100 (97.3)105–106 (105.3)
    Large size
        Rapid Transit90–94 (93.0)84–91 (87.0)81–86 (83.0)75–81 (78.6)
        Prowler Plus87–98 (91.3)73–77 (75.6)65–74 (70.6)72–74 (73.0)
        Renegade-1886–102 (94.3)90–120 (105.0)91–117 (100.6)87–114 (99.0)
        Progreat 2.4F93–95 (94.0)90–102 (94.6)82–91 (87.6)92–96 (94.3)
        Microferret99–104 (102.8)99–113 (109.2)91–103 (99.7)93–110 (104.7)
        Prowler Plus MX80–82 (80.7)81–90 (86.0)79–88 (84.6)82–84 (83.3)
    • Note.—Values are expressed as ranges followed by mean in parentheses.

    • View popup
    TABLE 4:

    Changes of the luminal diameter

    % Axial Diameter of Control% Axial Diameter of Shaped Catheters at Angled Portion
    Small size
        Excelsior 1018100.795.5
        Tracker Excel-14100.199.2
        Excelsior SL-1099.399.5
        Progreat 2.0F99.499.1
        Rebar 14100.397.3
        FasTracker-10100.397.3
    Large size
        Rapid Transit99.393.1
        Prowler Plus99.898.8
        Renegade98.990.5
        Progreat 2.4F100.095.4
        Microferret99.488.3
    • Note.—% axial diameter = (axial diameter at 5-mm proximal portion/axial diameter at 2-mm proximal portion) × 100.

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American Journal of Neuroradiology: 26 (10)
American Journal of Neuroradiology
Vol. 26, Issue 10
1 Nov 2005
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Hiro Kiyosue, Yuzo Hori, Shunro Matsumoto, Mika Okahara, Syuichi Tanoue, Yoshiko Sagara, Hiromu Mori
Shapability, Memory, and Luminal Changes in Microcatheters after Steam Shaping: A Comparison of 11 Different Microcatheters
American Journal of Neuroradiology Nov 2005, 26 (10) 2610-2616;

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Shapability, Memory, and Luminal Changes in Microcatheters after Steam Shaping: A Comparison of 11 Different Microcatheters
Hiro Kiyosue, Yuzo Hori, Shunro Matsumoto, Mika Okahara, Syuichi Tanoue, Yoshiko Sagara, Hiromu Mori
American Journal of Neuroradiology Nov 2005, 26 (10) 2610-2616;
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