{"title":"Transcarotid retrograde stenting for common carotid artery ostial stenosis: how I do it","authors":"Nozomi Sasaki, Yusuke Egashira, Yukiko Enomoto, Tsuyoshi Izumo","doi":"10.1007/s00701-025-06463-1","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>We present a surgical technique for retrograde stenting of ostial stenosis of the common carotid artery (CCA) in a 74-year-old male patient.</p><h3>Method</h3><p>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.</p><h3>Conclusion</h3><p>Our modified transcarotid retrograde stenting technique appears to be a feasible approach for managing ostial stenosis of the CCA.</p></div>","PeriodicalId":7370,"journal":{"name":"Acta Neurochirurgica","volume":"167 1","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00701-025-06463-1.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Neurochirurgica","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00701-025-06463-1","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
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.
期刊介绍:
The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.