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First multicenter study evaluating the utility of the BENCHMARKTM BMXTM 81 large-bore access catheter in neurovascular interventions.
Abdelsalam, Ahmed; Fountain, Hayes B; Ramsay, Ian A; Luther, Evan M; Sowlat, Mohammad Mahdi; Silva, Michael A; Hassan, Ameer E; Patel, Aman B; Eatz, Tiffany; Joseph, Pradeep; Regenhardt, Robert W; Satti, Sudhakar R; Siddiqui, Adnan H; Sanikommu, Sai; Baig, Ammad A; Khandelwal, Priyank; Spiotta, Alejandro M; Starke, Robert M.
Afiliación
  • Abdelsalam A; Department of Neurological Surgery, University of Miami School of Medicine, Miami, FL, USA.
  • Fountain HB; Department of Neurological Surgery, University of Miami School of Medicine, Miami, FL, USA.
  • Ramsay IA; Department of Neurological Surgery, University of Miami School of Medicine, Miami, FL, USA.
  • Luther EM; Department of Neurological Surgery, University of Miami School of Medicine, Miami, FL, USA.
  • Sowlat MM; Department Neurosurgery, Medical University of South Carolina, Charleston, SC, USA.
  • Silva MA; Department of Neurological Surgery, University of Miami School of Medicine, Miami, FL, USA.
  • Hassan AE; Department of Neurology, University of Texas Rio Grande Valley School of Medicine, Edinburg, TX, USA.
  • Patel AB; Departments of Neurology and Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
  • Eatz T; Department of Neurological Surgery, University of Miami School of Medicine, Miami, FL, USA.
  • Joseph P; Department of Neurosurgery, Rutgers University, Newark, NJ, USA.
  • Regenhardt RW; Departments of Neurology and Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
  • Satti SR; Department Neurointerventional Surgery, Christiana Care Health System, Newark, DE, USA.
  • Siddiqui AH; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
  • Sanikommu S; Department of Neurological Surgery, University of Miami School of Medicine, Miami, FL, USA.
  • Baig AA; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
  • Khandelwal P; Department of Neurosurgery, Rutgers University, Newark, NJ, USA.
  • Spiotta AM; Department Neurosurgery, Medical University of South Carolina, Charleston, SC, USA.
  • Starke RM; Department of Neurological Surgery, University of Miami School of Medicine, Miami, FL, USA.
Interv Neuroradiol ; : 15910199241262848, 2024 Jun 20.
Article en En | MEDLINE | ID: mdl-38899910
ABSTRACT

INTRODUCTION:

This study is the first multicentric report on the safety, efficacy, and technical performance of utilizing a large bore (0.081″ inner diameter) access catheter in neurovascular interventions.

METHODS:

Data were retrospectively collected from seven sites in the United States for neurovascular procedures via large bore 0.081″ inner diameter access catheter (Benchmark BMX81, Penumbra, Inc.). The primary outcome was technical success, defined as the access catheter reaching its target vessel. Safety outcomes included periprocedural device-related and access site complications.

RESULTS:

There were 90 consecutive patients included. The median age of the patients was 63 years (IQR 53, 68); 53% were female. The most common interventions were aneurysm embolization (33.3%), carotid stenting (12.2%), and arteriovenous malformation embolization (11.1%). The transradial approach was most used (56.7%), followed by transfemoral (41.1%). Challenging anatomic variations included severe vessel tortuosity (8/90, 8.9%), type 2 aortic arch (7/90, 7.8%), type 3 aortic arch (2/90, 2.2%), bovine arch (2/90, 2.2%), and severe angle (<30°) between the subclavian artery and target vessel (1/90, 1.1%). Technical success was achieved in 98.9% of the cases (89/90), with six cases requiring a switch from radial to femoral (6.7%) and one case from femoral to radial (1.1%). There were no access site complications or complications related to the 0.081″ catheter. Two postprocedural complications occurred (2.2%), unrelated to the access catheter.

CONCLUSION:

The BMX™ 81 large-bore access catheters was safe and effective in both radial and femoral access across a wide range of neurovascular procedures, achieving high technical success without any access site or device-related complications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Interv Neuroradiol Asunto de la revista: NEUROLOGIA / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Interv Neuroradiol Asunto de la revista: NEUROLOGIA / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos