The investigators aim to permanently thrombose aneurysmal sacs by an endovascular approach. They will do this in experimental aneurysms. They have recently developed microcatheters and microguide wires which have the physical characteristics to enable them to enter aneurysms traumatically without requirement for general anesthesia or craniotomy. The tip of a 2.2 F microcatheter is positioned in the neck of an experimentally created carotid artery aneurysm and via this catheter a soft platinum tip of a stainless steel microguide wire (0.010 in. diameter) is placed in the aneurysm. A positive 0.5 mA direct electric current applied via the guidewire stimulates the formation of intraaneurysmal thrombus. Blood elements are negatively charged and are attracted to the positively charged platinum tip. Following complete aneurysmal occlusion, a 0.5 mA positive direct current is again applied to the microguide wire to detach its platinum tip within the clotted aneurysm by electrolysis. Knowledge gained from this study should serve as a scientific basis for the clinical treatment of saccular intracranial aneurysms via the endovascular approach which would obviate surgical intervention and its associated mortality/morbidity.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
1R01HL046286-01
Application #
3365380
Study Section
Neurology A Study Section (NEUA)
Project Start
1991-04-01
Project End
1993-03-31
Budget Start
1991-04-01
Budget End
1992-03-31
Support Year
1
Fiscal Year
1991
Total Cost
Indirect Cost
Name
University of California Los Angeles
Department
Type
Schools of Medicine
DUNS #
119132785
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
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Ji, C; Guglielmi, G; Chen, H (1997) Endovascular electrocoagulation: concept, technique, and experimental results. AJNR Am J Neuroradiol 18:1669-78
Guglielmi, G; Vinuela, F; Duckwiler, G et al. (1995) High-flow, small-hole arteriovenous fistulas: treatment with electrodetachable coils. AJNR Am J Neuroradiol 16:325-8
Massoud, T F; Guglielmi, G; Vinuela, F et al. (1994) Saccular aneurysms in moyamoya disease: endovascular treatment using electrically detachable coils. Surg Neurol 41:462-7
Guglielmi, G; Ji, C; Massoud, T F et al. (1994) Experimental saccular aneurysms. II. A new model in swine. Neuroradiology 36:547-50
Fernandez Zubillaga, A; Guglielmi, G; Vinuela, F et al. (1994) Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlation of aneurysm neck size and treatment results. AJNR Am J Neuroradiol 15:815-20
Dorn 2nd, G W; Robbins, J; Ball, N et al. (1994) Myosin heavy chain regulation and myocyte contractile depression after LV hypertrophy in aortic-banded mice. Am J Physiol 267:H400-5
Massoud, T F; Guglielmi, G; Ji, C et al. (1994) Experimental saccular aneurysms. I. Review of surgically-constructed models and their laboratory applications. Neuroradiology 36:537-46
Guglielmi, G; Vinuela, F; Briganti, F et al. (1992) Carotid-cavernous fistula caused by a ruptured intracavernous aneurysm: endovascular treatment by electrothrombosis with detachable coils. Neurosurgery 31:591-6;discussion 596-7
Guglielmi, G; Vinuela, F; Duckwiler, G et al. (1992) Endovascular treatment of posterior circulation aneurysms by electrothrombosis using electrically detachable coils. J Neurosurg 77:515-24