One-Way Valve Method for Achieving Effective Flow Reversal on Carotid Artery Stenting.
作者信息
Yoshikawa Shinichiro, Iihoshi Satoshi, Kasakura Shigen, Tsukagoshi Eisuke, Kohyama Shinya
机构信息
Department of Neurosurgery, Nagoya Kyoritsu Hospital, Nagoya, Aichi, Japan.
Department of Endovascular Neurosurgery, International Medical Center, Saitama Medical University, Hidaka, Saitama, Japan.
出版信息
J Neuroendovasc Ther. 2021;15(6):404-407. doi: 10.5797/jnet.tn.2020-0124. Epub 2020 Dec 29.
OBJECTIVE
We report a simplified method of manual transfusion with a one-way valve during carotid artery stenting (CAS) with flow reversal.
CASE PRESENTATION
A 77-year-old man with cervical internal carotid artery stenosis who developed vulnerable plaques was scheduled for CAS using flow reversal. Blood flow reversal was naturally caused by the arteriovenous pressure gradient, and a method with a one-way valve, which enables simplified manual transfusion using a syringe technique, was used for the patient. CAS was completed without distal embolization.
CONCLUSION
Manual transfusion can be simplified using a one-way valve in cases of flow reversal during CAS, which often require complicated procedures.
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