Department of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan; Neuroendovascular Therapy Center, Shinshu University Hospital, Matsumoto, Japan.
Department of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan.
J Neuroradiol. 2024 Mar;51(2):214-219. doi: 10.1016/j.neurad.2023.08.004. Epub 2023 Aug 23.
Transradial access during neurointerventions has increased in popularity because of reduced complications and patient preference. Nevertheless, transradial cannulation into the left common carotid artery can be difficult technically because of the lack of catheter support in the aortic arch. Furthermore, the use of large sheaths can increase the risk of complications at the access site. Here, we developed a new very-small-bore transradial system using a 3F Simmons guiding sheath, to increase the procedural success rate and minimize access-site complications. This system can represent a valuable treatment option for neurointerventions and has the potential to expand the indications for transradial access.
经桡动脉入路在神经介入中越来越受欢迎，因为它可以减少并发症和患者的偏好。然而，由于主动脉弓缺乏导管支撑，经桡动脉插管到左颈总动脉在技术上可能很困难。此外，使用大鞘管会增加入路部位并发症的风险。在这里，我们开发了一种新的使用 3F Simmons 导引导管的超小口径经桡动脉系统，以提高手术成功率并最大限度地减少入路部位并发症。该系统可为神经介入提供一种有价值的治疗选择，并有可能扩大经桡动脉入路的适应证。
