Blanc Raphaël, Deschamps Frédéric, Orozco-Vasquez Julita, Thomas Philippe, Gaston André
Service de Neuroradiologie France, Hôpital Henri Mondor, AP-HP, 94000, Créteil, France.
Neuroradiology. 2007 Jul;49(7):563-6. doi: 10.1007/s00234-007-0233-1. Epub 2007 Apr 19.
Stable insertion of guide catheters via the femoral route can prove difficult because of tortuous vasculature leading to failure of endovascular treatment of intracranial aneurysms.
We report our experience using a long braided introducer sheath (6F Terumo Destination) with an inner diameter of 0.087 inches. It allowed the simultaneous use of multiple catheters or adjunctive techniques (balloon-assisted or stent-assisted coiling) while providing excellent support in 60 procedures involving coiling of anterior circulation aneurysms.
The use of a long introducer sheath, by enhancing stability in the aortic arch and supraaortic vessels, provides another solution to the problem of vascular tortuosity that hinders endovascular treatment of intracranial lesions.
由于血管迂曲,经股动脉途径稳定插入导引导管可能会很困难,这会导致颅内动脉瘤血管内治疗失败。
我们报告了使用内径为0.087英寸的长编织导入鞘(6F泰尔茂Destination)的经验。在60例涉及前循环动脉瘤栓塞的手术中,它允许同时使用多个导管或辅助技术(球囊辅助或支架辅助栓塞),同时提供了出色的支撑。
使用长导入鞘可增强主动脉弓和主动脉弓上血管的稳定性,为阻碍颅内病变血管内治疗的血管迂曲问题提供了另一种解决方案。