Department of Neurosurgery, Hadassah-Hebrew University Medical Center, P.O. Box 12000, Jerusalem 91120, Israel.
J Clin Neurosci. 2011 Nov;18(11):1538-40. doi: 10.1016/j.jocn.2011.03.004. Epub 2011 Jul 26.
An acute angle, <90 degrees, at the origin of the internal carotid artery from the common carotid artery poses a significant impediment to carotid artery stenting. We present a "balloon-assisted looping technique" that may facilitate successful crossing of the guidewire over this acute angle and enable successful carotid stenting in protected and unprotected endovascular procedures in patients with these challenging stenoses.
颈内动脉起始处与颈总动脉成角<90 度锐角会显著妨碍颈动脉支架置入术。我们提出了一种“球囊辅助套圈技术”，该技术可能有助于导丝成功跨越这个锐角，并使具有这些挑战性狭窄病变的患者在有保护和无保护血管内治疗中成功进行颈动脉支架置入术。
