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Transradial Stenting for Carotid Stenosis in Patients with Bovine Type and Type III Aortic Arch: Experience in 28 Patients.经桡动脉支架置入术治疗牛型和III型主动脉弓患者的颈动脉狭窄:28例患者的经验
World Neurosurg. 2018 Mar;111:e661-e667. doi: 10.1016/j.wneu.2017.12.138. Epub 2017 Dec 30.
2
Comparison of a Sheathless Transradial Access With Looping Technique and Transbrachial Access for Carotid Artery Stenting.无鞘经桡动脉入路联合环圈技术与经肱动脉入路用于颈动脉支架置入术的比较
J Endovasc Ther. 2016 Jun;23(3):516-20. doi: 10.1177/1526602816640291. Epub 2016 Mar 22.
3
Long-Term Results of Stenting versus Endarterectomy for Carotid-Artery Stenosis.颈动脉狭窄支架置入术与动脉内膜切除术的长期结果
N Engl J Med. 2016 Mar 17;374(11):1021-31. doi: 10.1056/NEJMoa1505215. Epub 2016 Feb 18.
4
Randomized Trial of Stent versus Surgery for Asymptomatic Carotid Stenosis.无症状性颈动脉狭窄支架治疗与手术治疗随机试验
N Engl J Med. 2016 Mar 17;374(11):1011-20. doi: 10.1056/NEJMoa1515706. Epub 2016 Feb 17.
5
A randomised comparison of transradial and transfemoral approach for carotid artery stenting: RADCAR (RADial access for CARotid artery stenting) study.经桡动脉与经股动脉途径行颈动脉支架置入术的随机对照研究:RADCAR(颈动脉支架置入术的桡动脉入路)研究
EuroIntervention. 2014 Jul;10(3):381-91. doi: 10.4244/EIJV10I3A64.
6
The clinical results of transcervical carotid artery stenting and frequency chosen as the approach route of carotid artery stenting in 1,067 consecutive cases.1067 例连续病例经颈总动脉途径行颈动脉支架置入术的临床结果与频率选择。
Acta Neurochir (Wien). 2013 Aug;155(8):1575-81. doi: 10.1007/s00701-013-1682-4. Epub 2013 May 9.
7
Initial experience of a novel sheath guide for transbrachial carotid artery stenting: technical note.经肱动脉入路颈动脉支架置入术新型鞘管导引导管的初步应用经验:技术札记。
J Neurointerv Surg. 2013 May;5 Suppl 1:i77-80. doi: 10.1136/neurintsurg-2012-010506. Epub 2012 Dec 19.
8
Transradial and transbrachial arterial approach for simultaneous carotid angiographic examination and stenting using catheter looping and retrograde engagement technique.经桡动脉和经肱动脉途径,采用导管成袢和逆行介入技术同步进行颈动脉血管造影检查和支架置入术。
Ann Vasc Surg. 2010 Jul;24(5):670-9. doi: 10.1016/j.avsg.2009.12.001. Epub 2010 Apr 3.
9
Report on initial experience with transradial access for carotid artery stenting.经桡动脉途径行颈动脉支架置入术的初步经验报告。
J Vasc Surg. 2007 Jun;45(6):1136-41. doi: 10.1016/j.jvs.2007.02.035.
10
Feasibility and safety of transbrachial approach for patients with severe carotid artery stenosis undergoing stenting.严重颈动脉狭窄患者经肱动脉途径行支架置入术的可行性与安全性
Catheter Cardiovasc Interv. 2006 Jun;67(6):967-71. doi: 10.1002/ccd.20738.

在经肱动脉颈动脉支架置入术中,使用三轴导管系统将6F引导鞘管置入颈总动脉。

Navigation of a 6-French guiding sheath into the common carotid artery using a tri-axial catheter system in transbrachial carotid artery stenting.

作者信息

Sakamoto Shigeyuki, Matsushige Toshinori, Abiko Masaru, Shimonaga Koji, Hosogai Masahiro, Okazaki Takahito, Ishii Daizo, Oshita Jumpei, Kurisu Kaoru

机构信息

1 Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan.

2 Department of Neurosurgery, Hiroshima City Asa Citizens Hospital, Hiroshima, Japan.

出版信息

Interv Neuroradiol. 2019 Feb;25(1):38-43. doi: 10.1177/1591019918795034. Epub 2018 Aug 16.

DOI:10.1177/1591019918795034
PMID:30114964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6378522/
Abstract

BACKGROUND AND PURPOSE

Placement of a large-bore guiding sheath or catheter into the common carotid artery (CCA) is crucial in transbrachial carotid artery stenting (CAS). Herein, we describe technical tips for the navigation of a 6-French guiding sheath into the CCA using a tri-axial catheter system in transbrachial CAS.

MATERIALS AND METHODS

A total of 27 patients underwent transbrachial CAS. For the right side, a 6-French straight guiding sheath was navigated directly into the CCA using a tri-axial catheter system, with a 4-French Simmons catheter placed through a 6-French straight guiding catheter. For the left side, a 6-French Simmons guiding sheath was navigated into the CCA using a tri-axial catheter system, with a 4-French Simmons catheter placed through a 6-French Simmons guiding catheter. After the placement of a 6-French guiding sheath into the CCA, CAS was performed under distal filter or balloon protection.

RESULTS

Fifteen patients had a right carotid stenosis and 12 patients had a left carotid stenosis. The 6-French guiding sheath was safely placed with ease and provided adequate stabilization for CAS. All procedures were successfully performed without any complications.

CONCLUSION

The use of a tri-axial catheter system for the navigation of a 6-French guiding sheath into the CCA appears safe and efficient, allowing transbrachial CAS, with 6-French guiding sheath stabilization, to be performed without any complication.

摘要

背景与目的

在经肱动脉颈动脉支架置入术(CAS)中,将大口径引导鞘或导管置入颈总动脉(CCA)至关重要。在此,我们描述了在经肱动脉CAS中使用三轴导管系统将6F引导鞘导航至CCA的技术要点。

材料与方法

共有27例患者接受经肱动脉CAS。对于右侧,使用三轴导管系统将6F直引导鞘直接导航至CCA,通过6F直引导导管置入4F西蒙斯导管。对于左侧,使用三轴导管系统将6F西蒙斯引导鞘导航至CCA,通过6F西蒙斯引导导管置入4F西蒙斯导管。在将6F引导鞘置入CCA后,在远端滤网或球囊保护下进行CAS。

结果

15例患者为右侧颈动脉狭窄,12例患者为左侧颈动脉狭窄。6F引导鞘轻松安全地置入,为CAS提供了足够的稳定性。所有手术均成功完成,无任何并发症。

结论

使用三轴导管系统将6F引导鞘导航至CCA似乎安全有效,可在6F引导鞘稳定的情况下进行经肱动脉CAS,且无任何并发症。