使用桡动脉“细长”鞘管辅助极幼龄婴儿经股动脉进行神经血管内栓塞术。
Use of a radial artery 'slender' sheath for facilitating transfemoral arterial access for neuroendovascular embolization in a very young infant.
作者信息
Miao Timothy L, Figueroa Enriqueta Lucar, Bajunaid Khalid, Mayich Michael, de Ribaupierre Sandrine, Pandey Sachin K
机构信息
1 Department of Medical Imaging, University Hospital, London Health Sciences Centre, London, Ontario, Canada.
2 Clinical Neurological Sciences, Division of Neurosurgery, University Hospital, London Health Sciences Centre, London, Ontario, Canada.
出版信息
Interv Neuroradiol. 2019 Jun;25(3):353-356. doi: 10.1177/1591019918813212. Epub 2018 Nov 21.
Pediatric neuroendovascular procedures are increasingly performed as several studies have shown the safety of these interventions. In the literature, an upper limit of 4 French catheter size is conventionally used for femoral access in neuroangiography of very young infants. However, this constraint in luminal size may not allow for more complex procedures. We present the previously unreported use of a radial 5 French slender catheter with ultrathin walls for femoral access for aneurysm embolization in a 3-month-old boy presenting with left M2 aneurysm rupture.
由于多项研究表明了这些介入治疗的安全性，小儿神经血管介入手术的开展越来越多。在文献中，传统上在非常小的婴儿进行神经血管造影时，股动脉穿刺采用的导管尺寸上限为4法式。然而，这种管腔尺寸的限制可能无法进行更复杂的手术。我们报告了一名3个月大、因左M2动脉瘤破裂就诊的男童，使用一种壁超薄的桡动脉5法式细长导管经股动脉途径进行动脉瘤栓塞，此应用此前未见报道。
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