经颈动脉逆行支架置入术治疗颈总动脉开口狭窄：我的操作方法。
Transcarotid retrograde stenting for common carotid artery ostial stenosis: how I do it.
作者信息
Sasaki Nozomi, Egashira Yusuke, Enomoto Yukiko, Izumo Tsuyoshi
机构信息
Department of Neurosurgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, 501-1194, Gifu, Japan.
出版信息
Acta Neurochir (Wien). 2025 Mar 4;167(1):57. doi: 10.1007/s00701-025-06463-1.
BACKGROUND
We present a surgical technique for retrograde stenting of ostial stenosis of the common carotid artery (CCA) in a 74-year-old male patient.
METHOD
The carotid bifurcation was widely exposed. A 9-French (Fr) balloon guide catheter (BGC) was inserted via a small arteriotomy of the CCA and fixed using balloon inflation. The BGC was curved and placed toward the leg side. Transluminal angioplasty followed by stent deployment was then performed. The contrast medium injected via a diagnostic 4-Fr catheter was aspirated through the BGC.
CONCLUSION
Our modified transcarotid retrograde stenting technique appears to be a feasible approach for managing ostial stenosis of the CCA.
背景
我们介绍了一种针对一名74岁男性患者颈总动脉（CCA）开口处狭窄进行逆行支架置入的手术技术。
方法
广泛暴露颈动脉分叉处。通过CCA的一个小动脉切口插入一根9法国（Fr）的球囊引导导管（BGC），并通过球囊充盈将其固定。将BGC弯曲并朝向腿部一侧放置。然后进行腔内血管成形术，随后置入支架。通过诊断性4Fr导管注入的造影剂通过BGC吸出。
结论
我们改良的经颈动脉逆行支架置入技术似乎是治疗CCA开口处狭窄的一种可行方法。
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