Evaluation of cerebral artery perforators and the pipeline embolization device using optical coherence tomography

被引:33
作者
Lopes, Demetrius Klee [1 ]
Johnson, Andrew Kelly [1 ]
机构
[1] Rush Univ, Med Ctr, Dept Neurol Surg, Chicago, IL 60612 USA
关键词
MICROSURGICAL ANATOMY; SEGMENTS;
D O I
10.1136/neurintsurg-2011-010102
中图分类号
R445 [影像诊断学];
学科分类号
100207 ;
摘要
Introduction Optical coherence tomography (OCT) provides high resolution imaging of tissue; this technology has been validated using intra-arterial catheters in the evaluation of arterial anatomy, pathology and treatments. The perforating cerebral arteries and intracranial stents have not been previously visualized with an OCT catheter. Methods Using a standard transfemoral endovascular technique, a Light Lab C7 Dragonfly catheter was inserted in the middle and posterior cerebral arteries of a fresh frozen cadaver. OCT images of the cerebral vessels and a deployed Pipeline Embolization Device were acquired using the Light Lab C7-XR OCT Intravascular Imaging System. Results Distal cerebral artery access with the imaging catheter was feasible via the femoral artery using a distal access catheter instead of the standard monorail system used in coronary investigations. Imaging of perforators and stent struts had exceptional resolution. Conclusion The first use of a commercial OCT catheter in the evaluation of intracranial vessels using transfemoral endovascular techniques is described. Challenges of intracranial OCT include blood clearance and vessel tortuosity. This technology may aid in the diagnosis and treatment of cerebrovascular disease in the future.
引用
收藏
页码:291 / 294
页数:4
相关论文
共 13 条
[1]   Evaluation of intracoronary stenting by intravascular optical coherence tomography [J].
Bouma, BE ;
Tearney, GJ ;
Yabushita, H ;
Shishkov, M ;
Kauffman, CR ;
Gauthier, DD ;
MacNeill, BD ;
Houser, SL ;
Aretz, HT ;
Halpern, EF ;
Jang, IK .
HEART, 2003, 89 (03) :317-320
[2]   Assessing atherosclerotic plaque morphology: Comparison of optical coherence tomography and high frequency intravascular ultrasound [J].
Brezinski, ME ;
Tearney, GJ ;
Weissman, NJ ;
Boppart, SA ;
Bouma, BE ;
Hee, MR ;
Weyman, AE ;
Swanson, EA ;
Southern, JF ;
Fujimoto, JG .
HEART, 1997, 77 (05) :397-403
[3]   Optical coherence tomography: High resolution intravascular imaging to evaluate vascular healing after coronary stenting [J].
Guagliumi, Giulio ;
Sirbu, Vasile .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2008, 72 (02) :237-247
[4]   OPTICAL COHERENCE TOMOGRAPHY [J].
HUANG, D ;
SWANSON, EA ;
LIN, CP ;
SCHUMAN, JS ;
STINSON, WG ;
CHANG, W ;
HEE, MR ;
FLOTTE, T ;
GREGORY, K ;
PULIAFITO, CA ;
FUJIMOTO, JG .
SCIENCE, 1991, 254 (5035) :1178-1181
[5]  
Lopes D, 2005, NEUROSURGERY, V56, P416, DOI 10.1227/01.NEU.0000145867.25167.CF
[6]   INTERPEDUNCULAR PERFORATING BRANCHES OF THE POSTERIOR CEREBRAL-ARTERY - MICROSURGICAL ANATOMY OF THEIR EXTRACEREBRAL AND INTRACEREBRAL SEGMENTS [J].
MARINKOVIC, S ;
MILISAVLJEVIC, M ;
KOVACEVIC, M .
SURGICAL NEUROLOGY, 1986, 26 (04) :349-359
[7]   Neuroendovascular Optical Coherence Tomography Imaging and Histological Analysis [J].
Mathews, Marlon S. ;
Su, Jianping ;
Heidari, Esmaeil ;
Levy, Elad I. ;
Linskey, Mark E. ;
Chen, Zhongping .
NEUROSURGERY, 2011, 69 (02) :430-439
[8]  
Mathews MS, 2010, P SOC PHOTO-OPT INS, V7883, P41
[9]   THE THALAMOGENICULATE PERFORATORS OF THE POSTERIOR CEREBRAL-ARTERY - THE MICROSURGICAL ANATOMY [J].
MILISAVLJEVIC, MM ;
MARINKOVIC, SV ;
GIBO, H ;
PUSKAS, LF .
NEUROSURGERY, 1991, 28 (04) :523-530
[10]   Does optical coherence tomography identify arterial healing after stenting? An in vivo comparison with histology, in a rabbit carotid model [J].
Prati, F. ;
Zimarino, M. ;
Stabile, E. ;
Pizzicannella, G. ;
Fouad, T. ;
Rabozzi, R. ;
Filippini, A. ;
Pizzicannella, J. ;
Cera, M. ;
De Caterina, R. .
HEART, 2008, 94 (02) :217-221