title: Use of the Outreach Distal Access Catheter for microcatheter stabilization during intracranial arteriovenous malformation embolization.
abstract: The Outreach DAC is an intermediate-sized catheter designed for use with the Merci clot retriever in acute stroke. We investigated its utility as an adjunctive device during AVM pedicle embolization. In the authors' opinion, the DAC provided additional guide-catheter and microcatheter support, improved selective angiographic visualization of AVM angioarchitecture, aided microcatheter removal from its embedded position in the AVM Onyx cast, and enhanced local microcatheter control and safety, compared with embolization with the guide and microcatheter alone.
authors.affiliation: Department of Neurosurgery and Toshiba Stroke Research Center, University at Buffalo, State University of New York, NY, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Binning
authors.forename: P
authors.initials: P
authors.lastname: Yashar
authors.forename: D
authors.initials: D
authors.lastname: Orion
authors.forename: E F
authors.initials: EF
authors.lastname: Hauck
authors.forename: E I
authors.initials: EI
authors.lastname: Levy
authors.forename: L N
authors.initials: LN
authors.lastname: Hopkins
authors.forename: A H
authors.initials: AH
authors.lastname: Siddiqui
mesh_terms: D004338:Drug Combinations; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006490:Hemostatics / Q000008:administration & dosage; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000628:therapy*; D008297:Male; D008904:Miniaturization; D011145:Polyvinyls / Q000008:administration & dosage*; D013635:Tantalum / Q000008:administration & dosage*; D016896:Treatment Outcome; D062666:Vascular Access Devices; D055815:Young Adult
chemical_list: D004338:Drug Combinations; D006490:Hemostatics; C558446:Onyx 18; D011145:Polyvinyls; D013635:Tantalum