Triple balloon protection technique using the mo.ma ultra with the carotid GuardWire for carotid stenting: technical note.
作者信息
Asai Katsunori, Imamura Hirotoshi, Mineharu Yohei, Tani Shoichi, Adachi Hidemitsu, Narumi Osamu, Todo Kenichi, Hoshi Taku, Sato Shinsuke, Kono Tomoyuki, Sakai Chiaki, Sakai Nobuyuki
机构信息
Comprehensive Stroke Center, Kobe City Medical Center General Hospital, Kobe, Japan; Division of Neuroendovascular Therapy, Institute of Biomedical Research and Innovation, Kobe, Japan.
Comprehensive Stroke Center, Kobe City Medical Center General Hospital, Kobe, Japan.
出版信息
J Stroke Cerebrovasc Dis. 2014 Aug;23(7):1871-6. doi: 10.1016/j.jstrokecerebrovasdis.2014.02.021. Epub 2014 May 9.
BACKGROUND
We describe the "triple balloon protection technique" (TBPT) using the Mo.Ma Ultra in combination with the Carotid GuardWire during carotid artery stenting (CAS). This technique is expected to prevent distal embolism to the internal and external carotid arteries, and is suitable for East Asians in whom the origin of the superior thyroid artery is lower than that in Caucasians.
METHODS
From December 2012 to May 2013, 11 patients underwent CAS using TBPT in our center.
RESULTS
Procedural success was achieved in all patients. Complete flow blockade by angiography could not be obtained in 8 patients (72.7%) by proximal occlusion using the Mo.Ma Ultra only. Complete angiographic flow blockade was obtained in all patients by TBPT. No major adverse cardiovascular events, including stroke, myocardial infarction, or death because of any cause, occurred within 30 days.
CONCLUSIONS
The use of TBPT for CAS may be effective for preventing distal embolisms, especially for East Asians.
Zotero 插件