Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2014, 158(2):221-226 | DOI: 10.5507/bp.2012.076

Endovascular brain intervention and mapping in a dog experimental model using magnetically-guided micro-catheter technology

Tomas Karaa,b, Pavel Leinvebera, Michal Vlasinc, Pavel Juraka,d, Miroslav Novaka, Zdenek Novake, Jan Chrastinae, Krzysztof Czechowicza, Milos Belehrada, Samuel J. Asirvathamb
a International Clinical Research Center - Department of Cardiovascular Diseases, St Anne's University Hospital in Brno and Masaryk University, Brno, Czech Republic
b Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA
c School of Veterinary Medicine, University of Veterinary and Pharmaceutical Sciences Brno, Brno
d Institute of Scientific Instruments of the Czech Academy of Sciences, Brno
e Department of Neurosurgery, St Anne's University Hospital in Brno and Masaryk University, Brno

Aim: Despite the substantial progress that has been achieved in interventional cardiology and cardiac electrophysiology, endovascular intervention for the diagnosis and treatment of central nervous system (CNS) disorders such as stroke, epilepsy and CNS malignancy is still limited, particularly due to highly tortuous nature of the cerebral arterial and venous system. Existing interventional devices and techniques enable only limited and complicated access especially into intra-cerebral vessels. The aim of this study was to develop a micro-catheter magnetically-guided technology specifically designed for endovascular intervention and mapping in deep CNS vascular structures.

Methods: Mapping of electrical brain activity was performed via the venous system on an animal dog model with the support of the NIOBE II system.

Results: A novel micro-catheter specially designed for endovascular interventions in the CNS, with the support of the NIOBE II technology, was able to reach safely deep intra-cerebral venous structures and map the electrical activity there. Such structures are not currently accessible using standard catheters.

Conclusion: This is the first study demonstrating successful use of a new micro-catheter in combination with NIOBE II technology for endovascular intervention in the brain.

Keywords: central nervous system, magnetically-guided endovascular interventions, mapping, NIOBE

Received: June 25, 2012; Accepted: July 19, 2012; Prepublished online: November 12, 2012; Published: June 23, 2014  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Kara, T., Leinveber, P., Vlasin, M., Jurak, P., Novak, M., Novak, Z., ... Asirvatham, S.J. (2014). Endovascular brain intervention and mapping in a dog experimental model using magnetically-guided micro-catheter technology. Biomedical papers158(2), 221-226. doi: 10.5507/bp.2012.076
Download citation

References

  1. Widimský P, Budesínský T, Vorác D, Groch L, Zelízko M, Aschermann M, Branny M, St'ásek J, Formánek P; 'PRAGUE' Study Group Investigators. Long distance transport for primary angioplasty vs immediate thrombolysis in acute myocardial infarction. Final results of the randomized national multicentre trial--PRAGUE-2. Eur Heart J. 2003;24(1):94-104. Go to original source... Go to PubMed...
  2. Widimský P, Groch L, Zelízko M, Aschermann M, Bednár F, Suryapranata H. Multicentre randomized trial comparing transport to primary angioplasty vs immediate thrombolysis vs combined strategy for patients with acute myocardial infarction presenting to a community hospital without a catheterization laboratory. The PRAGUE study. Eur Heart J. 2000;21(10):823-31. Go to original source... Go to PubMed...
  3. Braunwald E. The rise of cardiovascular medicine. Eur Heart J 2012 Apr;33(7):838-45. Go to original source... Go to PubMed...
  4. Calkins H, Kuck KH, Cappato R, Brugada J, Camm AJ, Chen SA, Crijns HJ, Damiano RJ Jr, Davies DW, DiMarco J, Edgerton J, Ellenbogen K, Ezekowitz MD, Haines DE, Haissaguerre M, Hindricks G, Iesaka Y, Jackman W, Jalife J, Jais P, Kalman J, Keane D, Kim YH, Kirchhof P, Klein G, Kottkamp H, Kumagai K, Lindsay BD, Mansour M, Marchlinski FE, McCarthy PM, Mont JL, Morady F, Nademanee K, Nakagawa H, Natale A, Nattel S, Packer DL, Pappone C, Prystowsky E, Raviele A, Reddy V, Ruskin JN, Shemin RJ, Tsao HM, Wilber D. 2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design. J Interv Card Electrophysiol 2012;33(2):171-257. Go to original source... Go to PubMed...
  5. Aliot EM, Stevenson WG, Almendral-Garrote JM, Bogun F, Calkins CH, Delacretaz E, Della Bella P, Hindricks G, Jaïs P, Josephson ME, Kautzner J, Kay GN, Kuck KH, Lerman BB, Marchlinski F, Reddy V, Schalij MJ, Schilling R, Soejima K, Wilber D. EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias: developed in a partnership with the European Heart Rhythm Association (EHRA), a Registered Branch of the European Society of Cardiology (ESC), and the Heart Rhythm Society (HRS); in collaboration with the American College of Cardiology (ACC) and the American Heart Association (AHA). Heart Rhythm 2009;6(6):886-933. Go to original source... Go to PubMed...
  6. Krum H, Schlaich M, Whitbourn R, Sobotka PA, Sadowski J, Bartus K, Kapelak B, Walton A, Sievert H, Thambar S, Abraham WT, Esler M. Catheter-based renal sympathetic denervation for resistant hypertension: a multicentre safety and proof-of-principle cohort study. Lancet 2009; 373:1275-81. Go to original source... Go to PubMed...
  7. Simplicity HTN-1 Investigators 2011. Catheter-based renal sympathetic denervation for resistant hypertension: durability of blood pressure reduction out to 24 months. Hypertension 2011;57:911-7. Go to original source... Go to PubMed...
  8. Simplicity HTN-2 Investigators, Esler MD, Krum H, Sobotka PA, Schlaich MP, Schmieder RE, Bohm M. Renal sympathetic denervation in patients with treatment-resistant hypertension (The Symplicity HTN-2 Trial): a randomised controlled trial. Lancet 2010; 376:1903-9. Go to PubMed...
  9. Pislaru SV, Harbuzariu A, Gulati R, Witt T, Sandhu NP, Simari RD, Sandhu GS. Magnetically targeted endothelial cell localization in stented vessels. J Am Coll Cardiol 2006;48(9):1839-45. Go to original source... Go to PubMed...
  10. Wang X, Jameel MN, Li Q, Mansoor A, Qiang X, Swingen C, Panetta C, Zhang J. Stem cells for myocardial repair with use of a transarterial catheter. Circulation 2009;120(11 Supl):238-46. Go to original source... Go to PubMed...
  11. Malcolme-Lawes L, Kanagaratnam P. Robotic navigation and ablation. Minerva Cardioangiol 2010;58(6):691-9. Go to PubMed...
  12. Nazarian S. New technologies and therapies for cardiac arrhythmias. Minerva Cardioangiol 2010;58(6):731-40. Go to PubMed...
  13. Kiemeneij F, Patterson MS, Amoroso G, Laarman G, Slagboom T. Use of the Stereotaxis Niobe magnetic navigation system for percutaneous coronary intervention: results from 350 consecutive patients. Catheter Cardiovasc Interv 2008;71(4):510-6. Go to original source... Go to PubMed...
  14. Buergler JM, Alam S, Spencer W, Kleiman NS, Melendez Y, Franklin J, Nagueh SF. Initial experience with alcohol septal ablation using a novel magnetic navigation system. J Interv Cardiol 2007;20(6):559-63. Go to original source... Go to PubMed...
  15. Henz BD, Friedman PA, Bruce CJ, Holmes DR Jr, Okumura Y, Johnson SB, Packer DL, Asirvatham SJ. Successful radiofrequency ablation of the cerebral cortex in pigs using the venous system: possible implications for treating CNS disorders. Epilepsy Res 2008;80(2-3):213-8. Go to original source... Go to PubMed...