{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T22:24:47Z","timestamp":1785795887545,"version":"3.56.0"},"reference-count":6,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intervent Neurol"],"published-print":{"date-parts":[[2018]]},"abstract":"<b><i>Introduction:<\/i><\/b> Distal access catheters are an infrequent focus of technical notes in neurointervention. The 5-French SOFIA\u2019s unique design allows for compatibility with 6-French guide catheters, while its supple construction allows for remarkably distal access for a catheter with a 0.055-inch inner diameter. <b><i>Methods:<\/i><\/b> The authors reviewed a prospectively maintained endovascular database for cases utilizing the 5-French SOFIA from February 2017 through November 2017. Case type, SOFIA location, microcatheter used, and catheter-related complications were noted. <b><i>Results:<\/i><\/b> Over the evaluated period, the 5-French SOFIA was utilized in 33 cases, including 13 aneurysm treatments, 10 arteriovenous shunt embolizations, 5 stroke thrombectomies, and 5 other cases. Of 5 flow diversion cases, 1 was for a symptomatic cavernous internal carotid artery aneurysm necessitating transradial access, another for a ruptured A3 aneurysm, and another for a middle cerebral artery (M2) aneurysm; 2 were more proximal aneurysms. Thrombectomies were for M2 (<i>n<\/i> = 3) or A2 (<i>n<\/i> = 2) occlusions. In all cases, the 5-French SOFIA reached its anticipated distal target without complication or the need to utilize a smaller\/alternative catheter. Of these 33 cases, there were 10 cases of distal SOFIA target locations: 6 M2\/M3, 3 anterior cerebral arteries (ACA), and 1 posterior cerebral artery (PCA). M2\/M3 and PCA catheterization was achieved over 2.1-Fr microcatheters; ACA catheterization employed a 2.9-Fr microcatheter for pipeline embolization and a deployed stentriever in the setting of two thrombectomies. <b><i>Conclusion:<\/i><\/b> The 5-French SOFIA can be safely utilized for distal, superselective catheterization in the context of complex neurointervention, including aneurysm and arteriovenous shunt embolization and distal thrombectomy.<\/jats:p>","DOI":"10.1159\/000488253","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T21:08:27Z","timestamp":1525381707000},"page":"308-314","source":"Crossref","is-referenced-by-count":9,"title":["5-French SOFIA: Safe Access and Support in the Anterior Cerebral Artery, Posterior Cerebral Artery, and Insular Middle Cerebral Artery"],"prefix":"10.1159","volume":"7","author":[{"given":"Bradley\u00a0A.","family":"Gross","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William\u00a0J.","family":"Ares","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia\u00a0L.","family":"Kenmuir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashutosh\u00a0P.","family":"Jadhav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tudor\u00a0G.","family":"Jovin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian\u00a0T.","family":"Jankowitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2018,5,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2016-012812"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2017-013256"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2013-011024"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2017-013515"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2015-011798"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2017-013233"}],"container-title":["Interventional Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/488253","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/488253","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:50:55Z","timestamp":1745427055000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000488253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":6,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2018,10,9]]},"published-print":{"date-parts":[[2018,10,16]]}},"URL":"https:\/\/doi.org\/10.1159\/000488253","archive":["Portico"],"relation":{},"ISSN":["1664-9737","1664-5545"],"issn-type":[{"value":"1664-9737","type":"print"},{"value":"1664-5545","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}