A New Flow-Diverter (the FloWise): In-Vivo Evaluation in an Elastase-Induced Rabbit Aneurysm Model.
10.3348/kjr.2016.17.1.151
- Author:
Byung Moon KIM
1
;
Dong Joon KIM
;
Dong Ik KIM
Author Information
1. Severance Integrated Research Institute of Cerebrovascular Disease, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Korea. bmoon21@hanmail.net
- Publication Type:Original Article ; Evaluation Studies ; Research Support, Non-U.S. Gov't
- Keywords:
Flow diverter;
Aneurysm;
Rabbit aneurysm model
- MeSH:
Alloys;
Aneurysm/*chemically induced/radiography/*surgery;
Angiography;
Animals;
Arteries/pathology/surgery;
Catheters;
Cerebrovascular Circulation/physiology;
Constriction, Pathologic/chemically induced/radiography/surgery;
*Disease Models, Animal;
Humans;
Male;
Pancreatic Elastase/*pharmacology;
Platinum;
*Rabbits;
Stents/*adverse effects
- From:Korean Journal of Radiology
2016;17(1):151-158
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: We aimed to evaluate the efficacy and safety of a newly developed, partially retrievable flow-diverter (the FloWise) in an elastase-induced rabbit aneurysm model. MATERIALS AND METHODS: We developed a partially retrievable flow diverter composed of 48 strands of Nitinol and platinum wire. The FloWise is compatible with any microcatheter of 0.027-inch inner diameter, and is retrievable up to 70% deployment. The efficacy and safety of the FloWise were evaluated in the elastase-induced rabbit aneurysm model. The rate of technical success (full coverage of aneurysm neck) and assessment of aneurysm occlusion and stent patency was conducted by angiograms and histologic examinations at the 1-month, 3-month, and 6-month follow-up. The patency of small arterial branches (intercostal or lumbar arteries) covered by the FloWise were also assessed in the 5 subjects. RESULTS: We attempted FloWise insertion in a total of 32 aneurysm models. FloWise placement was successful in 31 subjects (96.9%). Two stents (6.2%) were occluded at the 3-month follow-up, but there was no evidence of in-stent stenosis in other subjects. All stented aneurysms showed progressive occlusion: grade I (complete aneurysm occlusion) in 44.4% and grade II (aneurysm occlusion > 90%) in 55.6% at 1 month; grade I in 90% and II in 10% at 3 months; and grade I in 90% and II in 10% at 6 months. All small arterial branches covered by the FloWise remained patent. CONCLUSION: A newly developed, partially retrievable flow-diverter seems to be a safe and effective tool of aneurysm occlusion, as evaluated in the rabbit aneurysm model.
