In Vitro Head-to-Head Comparison of Flow Reduction between Fibered and Non-Fibered Pushable Coils
10.5469euroint.2024.00031
- Author:
Jong-Tae YOON
1
;
Boseong KWON
;
Joon Ho CHOI
;
Sun Moon HWANG
;
Mihyeon KIM
;
Sungbin HWANG
;
Yunsun SONG
;
Deok Hee LEE
Author Information
1. Department of Radiology, AMIST, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- Publication Type:Original Paper
- From:Neurointervention
2024;19(1):31-38
- CountryRepublic of Korea
- Language:EN
-
Abstract:
Purpose:To compare the embolization effects of a non-fibered pushable coil with a conventional fibered pushable coil in an in vitro bench-top experiment.
Materials and Methods:A simplified vascular phantom with 4 channels (1 for the non-fibered coil, 1 for the fibered coil, and 2 for continuous circuit flow) was used. A single coil of the longest length was inserted to evaluate the effect of single-coil embolization, and 3 consecutive coils were inserted to assess the effect of multiple-coil embolization. Post-embolization angiography was performed to obtain flow variables (time to peak [TTP], relative peak intensity [rPI], and angiographic flow reduction score [AFRS]) from time density curves. The packing densities of the two coil types were calculated, and the AFRS of each channel was determined by dividing the TTP by the rPI.
Results:When inserting a single coil, the conventional fibered coil demonstrated better flow reduction, as indicated by a higher AFRS (25.6 vs. 17.4, P=0.034). However, the non-fibered coil exhibited a significantly higher packing density (12.9 vs. 2.4, P=0.001). Similar trends were observed with multiple coils.
Conclusion:The conventional fibered pushable coil showed better flow reduction efficiency, while the non-fibered pushable coil had a higher packing density, likely due to the flexibility of the coil loops. A better understanding of the distinct characteristics of different pushable coils can enhance the outcomes of various vascular embolization.
