6 Fr改良Simmonds导向鞘经桡动脉支架置入术治疗颈总动脉狭窄

JNET Pub Date : 2018-07-18 DOI:10.5797/JNET.TN.2018-0040

Y. Hanaoka, J. Koyama, Alhusain Nagm, Keisuke Kamiya, A. Chiba, Takaaki Kamijo, T. Ogiwara, T. Horiuchi, K. Hongo

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引用次数: 5

摘要

目的：经股动脉入路颈动脉支架术（CAS）治疗颈总动脉狭窄可能存在医源性远端栓塞的潜在风险。在这项研究中，我们提出了一种使用6Fr改良的Simmonds引导鞘进行颈总动脉狭窄的经桡动脉支架置入术。病例介绍：通过右桡动脉引入6 Fr改良的Simmonds引导鞘，并在不通过导丝或同轴导管穿过狭窄病变的情况下推进至颈总动脉。两例颈总动脉狭窄均采用该方法成功治疗。结论：改良Simmonds导引鞘经桡动脉CAS治疗颈总动脉狭窄伴易损斑块的患者是一种安全、耐用的替代选择。

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Transradial Stenting with a 6 Fr Modified Simmonds Guiding Sheath for Stenosis of the Common Carotid Artery

Objective: Carotid artery stenting (CAS) for common carotid artery stenosis via the transfemoral approach might have a potential risk of iatrogenic distal embolism. In this study, we present a technique of transradial stenting with 6 Fr modified Simmonds guiding sheath for stenosis of the common carotid artery. Case Presentations: A 6 Fr modified Simmonds guiding sheath was introduced via the right radial artery and advanced to the common carotid artery without passing a guidewire or coaxial catheter through the stenotic lesions. Two cases with common carotid artery stenosis were treated successfully with this procedure. Conclusion: Transradial CAS with modified Simmonds guiding sheath provides a safe and durable alternative option for patients with common carotid artery stenosis having vulnerable plaques.

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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.