Otaka Jun, Saguchi Toru, Ikenaga Shoichi, Yunaiyama Daisuke, Moriya Tomohisa, Nishibe Toshiya, Saito Kazuhiro
Department of Radiology, Tokyo Medical University, Shinjuku City, Tokyo, Japan.
Department of Cardiovascular Surgery, Tokyo Medical University, Shinjuku City, Tokyo, Japan.
Radiol Case Rep. 2020 Dec 24;16(3):579-584. doi: 10.1016/j.radcr.2020.12.010. eCollection 2021 Mar.
Here, we report the case of a 59-year-old male patient who underwent transcatheter embolization of bilateral renal artery aneurysms, using 2 microballoons and 1 microcatheter, all carried within a single guiding sheath. During coil embolization in a visceral artery, there are situations that can require multiple microdevices. We developed a new 6-Fr Shephard-hook type guiding sheath (Parent Plus 60) with a lumen large enough to deliver three microdevices simultaneously. This technique can be used broadly in different clinical scenarios, and it may provide novel treatment strategies to clinicians in the future.
在此，我们报告一例59岁男性患者的病例，该患者接受了双侧肾动脉瘤的经导管栓塞术，使用了2个微球囊和1个微导管，所有这些都通过单个引导鞘输送。在内脏动脉进行弹簧圈栓塞时，有时可能需要多个微型器械。我们研发了一种新型的6F Shepherd钩型引导鞘（Parent Plus 60），其管腔足够大，能够同时输送三个微型器械。该技术可广泛应用于不同的临床场景，未来可能为临床医生提供新的治疗策略。
