Hayashi Kentaro, Kitagawa Naoki, Morikawa Minoru, Kawakubo Junichi, Hiu Takeshi, Tsutsumi Keisuke, Nagata Izumi
Department of Neurosurgery Nagasaki University School of Medicine, Japan.
No Shinkei Geka. 2008 Mar;36(3):233-7.
We described a case of endoluminal stent placement for cervical internal carotid artery stenosis in which access was obtained via the proximal portion of the right radial artery. A 70-year-old man with a history of arteriosclerosis obliterans presented for endoluminal revascularization of a stenosed left internal carotid artery. The transfemoral approach was not possible because of severe atherosclerosis of the bilateral common iliac arteries. An approach was attempted via the right radial artery. After placement of a 6F short sheath in the proximal portion of the right radial artery, the guiding catheter was positioned in the left common carotid artery using the coaxial catheter system. Stenting was successfully performed under distal protection. This novel approach should be considered for endovascular procedures for which access to the carotid artery is limited.
我们描述了一例经右桡动脉近端入路行颈内动脉狭窄腔内支架置入术的病例。一名患有闭塞性动脉硬化病史的70岁男性因左颈内动脉狭窄行腔内血管重建术。由于双侧髂总动脉严重动脉粥样硬化，无法采用经股动脉入路。尝试经右桡动脉入路。在右桡动脉近端置入6F短鞘后，使用同轴导管系统将引导导管置于左颈总动脉。在远端保护下成功进行了支架置入。对于颈动脉入路受限的血管内手术，应考虑这种新的入路。
