采用冠状动脉技术的复杂颈动脉支架置入术。

Complex carotid stenting using a coronary technique.

作者信息

Kassaian Seyed Ebrahim, Fotuhi Mohammad, Mahmoodian Mehran

机构信息

Department of Interventional Cardiology, Tehran Heart Center, Medical Sciences/University of Tehran, Iran.

出版信息

J Endovasc Ther. 2008 Aug;15(4):490-2. doi: 10.1583/08-2367.1.

DOI:10.1583/08-2367.1

PMID:18729554

Abstract

PURPOSE

To report the utility of a coronary technique to facilitate carotid stenting in patients with difficult arch anatomies.

TECHNIQUE

When confronted with challenging arch anatomy that prevents engaging the common carotid artery (CCA) with the guiding sheath using standard techniques, an 8-F left Amplatz guiding catheter (AL1) is placed at the origin of the innominate artery. A 0.014-inch coronary guidewire is advanced into the external carotid artery (ECA), and a small monorail coronary balloon is inflated in a small branch of the ECA. The balloon/guidewire combination facilitates maneuvering a 0.035-inch Amplatz super-stiff guidewire through the ECA and then advancing the guiding catheter into the CCA.

CONCLUSION

This anchoring technique can be a helpful method for cannulating the CCA in patients with a complex arch when the ECA is patent.

摘要

目的

报告一种冠状动脉技术在解剖结构复杂的主动脉弓患者中辅助颈动脉支架置入术的应用。

技术

当面对具有挑战性的主动脉弓解剖结构，导致无法使用标准技术将引导鞘管置入颈总动脉（CCA）时，将一根8F的左安普茨引导导管（AL1）置于无名动脉起始处。将一根0.014英寸的冠状动脉导丝推进到颈外动脉（ECA），并在ECA的一个小分支中充盈一个小的单轨冠状动脉球囊。球囊/导丝组合便于将一根0.035英寸的安普茨超硬导丝穿过ECA，然后将引导导管推进到CCA。