Sheathless Distal Radial Access for Carotid Stenting.

IF 0.8 3区 医学 Q4 NEUROSCIENCES
Neurology India Pub Date : 2025-07-01 Epub Date: 2025-07-24 DOI:10.4103/neurol-india.Neurol-India-D-23-00116
Boby Varkey Maramattom
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引用次数: 0

Abstract

Carotid artery stenting through radial artery access is limited by the lack of dedicated neurovascular catheters and sheaths. Transradial access (TRA) is now widely used for carotid artery stenting [CAS]. Distal radial access in the snuff box (SB-TRA) offers an even more attractive option that lowers bleeding and occlusive complications than even conventional TRA. We report the use of a sheathless system for CAS using commonly available materials using a snuff box approach and distal radial access (SB-dTRA). Three patients underwent CAS of the right carotid artery using an SB-TRA approach. All three were completed satisfactorily without any procedural or access site complications. By using conventionally available dedicated neurovascular long sheaths, it is possible to perform CAS using the snuff box trans-radial route.

颈动脉支架置入的桡动脉远端无鞘通路。
由于缺乏专用的神经血管导管和鞘,经桡动脉进入的颈动脉支架置入受到限制。经桡动脉通路(TRA)目前广泛应用于颈动脉支架置入。鼻烟壶远端桡骨通路(SB-TRA)提供了比传统TRA更有吸引力的选择,可以降低出血和闭塞并发症。我们报告使用无鞘系统的CAS使用常用材料使用鼻烟壶入路和远端桡骨通路(SB-dTRA)。3例患者采用SB-TRA入路行右颈动脉CAS。所有三例手术均圆满完成,无任何手术或手术部位并发症。通过使用传统的专用神经血管长鞘,可以使用鼻烟壶经桡动脉路径进行CAS。
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来源期刊
Neurology India
Neurology India 医学-神经科学
CiteScore
1.60
自引率
70.40%
发文量
434
审稿时长
2 months
期刊介绍: Neurology India (ISSN 0028-3886) is Bi-monthly publication of Neurological Society of India. Neurology India, the show window of the progress of Neurological Sciences in India, has successfully completed 50 years of publication in the year 2002. ‘Neurology India’, along with the Neurological Society of India, has grown stronger with the passing of every year. The full articles of the journal are now available on internet with more than 20000 visitors in a month and the journal is indexed in MEDLINE and Index Medicus, Current Contents, Neuroscience Citation Index and EMBASE in addition to 10 other indexing avenues. This specialty journal reaches to about 2000 neurologists, neurosurgeons, neuro-psychiatrists, and others working in the fields of neurology.
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