TY - JOUR
T1 - Newly designed sheaths for gastroduodenal intervention
T2 - An experimental study in a phantom and dogs
AU - Seo, Tae Seok
AU - Song, Ho Young
AU - Lee, Jong Heon
AU - Ko, Gi Young
AU - Sung, Kyu Bo
AU - Jin, Oh Lim
AU - Young, Hwan Ko
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2004
Y1 - 2004
N2 - Objective: To evaluate the usefulness of newly designed sheaths for gastroduodenal intervention in a gastric phantom and dogs. Materials and Methods: A regular sheath was made using a polytetrafluoroethylene tube (4 mm in diameter, 90 cm long) with a bent tip (4 cm long, 100 degree angle). For the supported type of sheath, a 5 Fr catheter was attached to a regular sheath to act as a side lumen. To evaluate their supportability, we measured the distance of movement of the sheath's tip within a silicone gastric phantom for three types of sheath, the regular type, supported type, and supported type with a supporting guide wire. The experiments were repeated 30 times, and the results were analyzed using ANOVA with the postHoc test. In addition, an animal experiment was performed in six mongrel dogs (total: 12 sessions) to evaluate the torque and supportability of the sheaths in the stomach, while pushing a guide wire or coil catheter under fluoroscopic guidance. Results: In the guide wire application, the distances of movement of the sheath tip in the three types of sheath, the regular type, supported type, and supported type with supporting guide wire, were 8.40 ± 0.51 cm, 6.23 ± 0.41 cm, and 4.47 ± 0.32 cm, respectively (p < 0.001). In the coil catheter application, the corresponding values were 7.22 ± 0.70 cm, 5.61 ± 0.31 cm and 3.91 ± 0.59 cm, respectively (p < 0.001). All three types of sheath rotated smoothly and enabled both the wires and catheters to be guided toward the pylorus of the dog in all cases. Conclusion: The newly designed sheaths can be useful for gastroduodenal intervention.
AB - Objective: To evaluate the usefulness of newly designed sheaths for gastroduodenal intervention in a gastric phantom and dogs. Materials and Methods: A regular sheath was made using a polytetrafluoroethylene tube (4 mm in diameter, 90 cm long) with a bent tip (4 cm long, 100 degree angle). For the supported type of sheath, a 5 Fr catheter was attached to a regular sheath to act as a side lumen. To evaluate their supportability, we measured the distance of movement of the sheath's tip within a silicone gastric phantom for three types of sheath, the regular type, supported type, and supported type with a supporting guide wire. The experiments were repeated 30 times, and the results were analyzed using ANOVA with the postHoc test. In addition, an animal experiment was performed in six mongrel dogs (total: 12 sessions) to evaluate the torque and supportability of the sheaths in the stomach, while pushing a guide wire or coil catheter under fluoroscopic guidance. Results: In the guide wire application, the distances of movement of the sheath tip in the three types of sheath, the regular type, supported type, and supported type with supporting guide wire, were 8.40 ± 0.51 cm, 6.23 ± 0.41 cm, and 4.47 ± 0.32 cm, respectively (p < 0.001). In the coil catheter application, the corresponding values were 7.22 ± 0.70 cm, 5.61 ± 0.31 cm and 3.91 ± 0.59 cm, respectively (p < 0.001). All three types of sheath rotated smoothly and enabled both the wires and catheters to be guided toward the pylorus of the dog in all cases. Conclusion: The newly designed sheaths can be useful for gastroduodenal intervention.
KW - Gastrointestinal tract
KW - Interventional procedures
KW - Stents and Prostheses
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U2 - 10.3348/kjr.2004.5.2.114
DO - 10.3348/kjr.2004.5.2.114
M3 - Article
C2 - 15235236
AN - SCOPUS:3242732455
VL - 5
SP - 114
EP - 120
JO - Korean Journal of Radiology
JF - Korean Journal of Radiology
SN - 1229-6929
IS - 2
ER -