Distal intracranial catheterization of patients with tortuous vascular anatomy using a new hybrid guide catheter

Surg Neurol. 2009 Dec;72(6):737-40; discussion 740. doi: 10.1016/j.surneu.2009.03.016. Epub 2009 Jul 15.


Background: A hybrid guide catheter mates the traditional strong guide catheter with a thin, soft distal tip, allowing placement further into the distal cervical or proximal cranial circulation.

Case description: We present 5 cases in which traditional guide catheters were unable to successfully navigate tortuous anatomy or provide stable support for intervention.

Conclusion: Hybrid guide catheters provided safe, stable support for successful treatment. Hybrid guide catheters allow for treatment for patients who previously were not candidates for neuroendovascular surgery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Angiography, Digital Subtraction
  • Angioplasty, Balloon* / instrumentation
  • Catheterization* / instrumentation
  • Embolization, Therapeutic* / instrumentation
  • Equipment Design
  • Female
  • Humans
  • Intracranial Arteriovenous Malformations* / diagnostic imaging
  • Intracranial Arteriovenous Malformations* / surgery
  • Male
  • Stents*