经桡动脉入路颈动脉支架置入过程中的近端球囊保护

JNET Pub Date : 2018-06-21 DOI:10.5797/JNET.TN.2018-0020

Y. Hanaoka, J. Koyama, Takafumi Kiuchi, Keisuke Kamiya, Haruki Kuwabara, Takaaki Kamijo, T. Horiuchi, K. Hongo

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引用次数: 2

摘要

目的：报告2例经桡颈动脉支架置入术（TR-CAS）中应用近端球囊保护（PBP）方法的患者。病例介绍：病例1为79岁男性。对颈内动脉的急性闭塞进行了TR-CAS。将6Fr球囊导管引入6Fr导管鞘内，通过PBP下的病变进行CAS。病例2为83岁男性。采用TR-CAS治疗颈内动脉明显狭窄。导管穿过病变很困难，但带球囊导管的PBP增强了支撑力，促进了病变的通过，CAS成功。结论：目前尚无研究报道TR-CAS过程中的PBP，但采用该方法可在TR-CAS中进行PBP，并可加强对病变通道的支持。这种方法可能对有远端栓塞风险的患者或病变难以通过的患者有用。

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Proximal Balloon Protection during Carotid Artery Stenting via the Transradial Approach

Objective: We report two patients for whom the proximal balloon protection (PBP) method was used during transradial carotid artery stenting (TR-CAS). Case Presentations: Case 1 was a 79-year-old male. TR-CAS for acute occlusion of the internal carotid artery was performed. A 6 Fr balloon guiding catheter was introduced into a 6 Fr guiding sheath, and CAS was conducted by passing through the lesion under PBP. Case 2 was an 83-year-old male. TR-CAS was performed to treat marked stenosis of the internal carotid artery. It was difficult to pass the catheter through the lesion, but PBP with a balloon guiding catheter enhanced the supporting power, facilitating lesion passage, and CAS was successful. Conclusion: No study has reported PBP during TR-CAS, but we were able to perform PBP during TR-CAS by adopting this method, and the support for lesion passage may be enhanced. This method may be useful for patients at risk of distal embolism or for those in whom lesion passage is difficult.

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来源期刊

JNET

自引率

0.00%

发文量

审稿时长

17 weeks

期刊介绍： JNET Journal of Neuroendovascular Therapy is the official journal of the Japanese Society for Neuroendovascular Therapy (JSNET). The JNET publishes peer-reviewed original research related to neuroendovascular therapy, including clinical studies, state-of-the-art technology, education, and basic sciences.