采用鞘管拉入技术治疗颈总动脉狭窄的支架置入术。
Stenting for Common Carotid Artery Stenosis Using the Sheath Pull-Through Technique.
作者信息
Saito Tomonari, Takeuchi Masataka, Suzuki Kentaro, Nishiyama Yasuhiro, Okubo Seiji, Kimura Kazumi
机构信息
Department of Cerebrovascular Medicine, NTT Medical Center Tokyo, Tokyo, Japan.
Department of Neurology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan.
出版信息
J Neuroendovasc Ther. 2021;15(2):129-133. doi: 10.5797/jnet.tn.2020-0014. Epub 2020 Sep 17.
OBJECTIVE
We report the "sheath pull-through technique" for stenting of common carotid artery stenosis (CCAS).
CASE PRESENTATIONS
In this technique, an 8-10 Fr super-long sheath (SLS) 55-65 cm is inserted into the femoral artery and the brachiofemoral pull-through technique is subsequently used, improving the support of the sheath itself. We pulled both ends of a pull-through wire to further improve the support of SLS, stabilizing guiding catheter (GC) during the procedure in two cases.
CONCLUSION
This technique stabilizes GC during CCAS stenting.
目的
我们报告用于颈总动脉狭窄（CCAS）支架置入的“鞘管牵拉技术”。
病例介绍
在该技术中，将一根8-10 Fr、长55-65 cm的超长鞘管（SLS）插入股动脉，随后采用肱股牵拉技术，增强鞘管本身的支撑力。我们牵拉一根牵拉导丝的两端以进一步增强SLS的支撑力，在两例手术过程中稳定了引导导管（GC）。
结论
该技术在CCAS支架置入过程中可稳定GC。
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