Modified technique for using vascular sheaths in carotid artery stent placement.
J Endovasc Ther
; 8(6): 576-8, 2001 Dec.
Article
en En
| MEDLINE
| ID: mdl-11797971
PURPOSE: To report a technical modification that will prevent sheath kinking in acutely angled vessels during carotid stent placement. TECHNIQUE: If a long vascular sheath kinks when engaging an acutely angled common carotid or innominate artery, the sheath is pulled caudally approximately 2 cm while a 0.014-inch guidewire, supported by a coronary balloon catheter, is advanced toward the internal carotid artery (ICA). Alternatively, to avoid kinking, the original 0.035-inch super stiff wire is maintained within the sheath until the 0.014-inch wire and coronary balloon have exited the sheath's distal tip. CONCLUSIONS: If an aortic arch is tortuous and the angle of the common carotid artery is unfavorable, a guiding catheter is preferable to a long vascular sheath for accessing the ICA during carotid stent procedures.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cateterismo Venoso Central
/
Enfermedades de las Arterias Carótidas
/
Stents
Límite:
Humans
Idioma:
En
Revista:
J Endovasc Ther
Asunto de la revista:
ANGIOLOGIA
Año:
2001
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos