Superselective Intracerebral Catheterization of a Branch of the Internal Carotid Artery Coupled with Magnetic Resonance Imaging

Abstract

We used fluoroscopic guidance and over-the-wire techniques to superselectively place a microcatheter into a branch of the MCA of three macaques and MRI bolus tracking techniques to measure perfusion within the selected brain region. Such techniques are likely to be useful in the assessment and treatment of ischemic infarction, cerebral vasospasm, and monitoring local delivery of drugs into the brain.

Keywords

MRI stroke cerebral perfusion intravascular devices

Get full access to this article

View all access options for this article.

References

Yamanaka

Shiraki

: Transcatheter arterial embolization and extrabeam radiation therapy for subcutaneous seeding of hepatocellular carcinoma by percutaneous ethanol injection. Hepatogastroenterology 49: 1656–1658, 2002.

Tomura

Kobayashi

: Chemoembolization of head and neck cancer with carboplatine microcapsules. Acta Radiol 37: 52–56, 1996.

Tomura

Hashimoto

: Superselective angio-CT of brain tumors. Am J Neuroradiol 17: 1073–1080, 1996.

Qureshi

Suri

: Superselective intra-arterial carboplatin for treatment of intracranial neoplasms: experience in 100 procedures. J Neurooncol 51: 151–158, 2001.

Chen

: The preoperative application of selective catheterization and embolism of the external carotid artery in treating tumors with enriched blood supply in the base of skull. Lin Chuang Er Bi Yan Hou Ke Za Zhi 14: 205–206, 2000.

Charleux

: The Verner-Morrison syndrome: endocrine cholera or vipoma? Nouv Presse Med 11: 859–862, 1982.

Steiner-Boker

Cejna

: Successful revascularization of acute carotid stent thrombosis by facilitated thrombolysis. Am J Neuroradiol 25: 1411–1413, 2004.

Schmitt

Christopoulos

: Diagnostic angiography using multi-slice spiral CT in acute obstruction of the basilar artery. Rontgenpraxis 55: 184–191, 2004.

Qureshi

Ali

: Intra-arterial third-generation recombinant tissue plasminogen activator (reteplase) for acute ischemic stroke. Neurosurgery 49: 41–48; discussion 48–50, 2001.

10.

Ishiguro

Komiyama

: Dejerine-Roussy syndrome following endovascular parent artery occlusion for an unruptured posterior cerebral artery aneurysm (P2 segment): case report. No Shinkei Geka 30: 1217–1221, 2002.

11.

Hong

Baik

: Successful management with glue injection of arterial rupture seen during embolization of an arteriovenous malformation using a flow-directed catheter: a case report. Korean J Radiol 1: 208–211, 2000.

12.

Hamberg

Hunter

: Functional CT perfusion imaging in predicting the extent of cerebral infarction from a 3-hour middle cerebral arterial occlusion in a primate stroke model. Am J Neuroradiol 23: 1013–1021, 2002.

13.

Qureshi

Suri

: Intraarterial reteplase and intravenous abciximab for treatment of acute ischemic stroke. A preliminary feasibility and safety study in a nonhuman primate model. Neuroradiology 47: 845–854, 2005.

14.

de Crespigny

D'Arceuil

: Acute Studies of a New Primate Model of Reversible Middle Cerebral Artery Occlusion. Journal of Stroke and Cerebrovascular Diseases 14: 80–87, 2005.

15.

Adam

Neuerburg

: Interventional magnetic resonance. Initial clinical experience with a 1.5-tesla magnetic resonance system combined with C-arm fluoroscopy. Invest Radiol 32: 191–197, 1997.

16.

Fahrig

Butts

: A truly hybrid interventional MR/X-ray system: feasibility demonstration. J Magn Reson Imaging 13: 294–300, 2001.

17.

Kee

Ganguly

: MR-guided transjugular intrahepatic portosystemic shunt creation with use of a hybrid radiography/MR system. J Vasc Interv Radiol 16: 227–234, 2005.

18.

Kiruluta

Shaefer

: Clinical Diagnosis and Treatment of Stroke and Trauma in a Neurovascular XMR Suite. International Society for Magnetic Resonance in Medicine, 14th Annual Meeting 1: 494, 2006.