Cerebral Protection During Retrograde Carotid Artery Stenting for Proximal Carotid Artery Stenosis-Technical Note-

• TSUTSUMI Masanori

  Department of Neurosurgery, Fukuoka University Chikushi Hospital

• KAZEKAWA Kiyoshi

  Department of Neurosurgery, Fukuoka University Chikushi Hospital

• ONIZUKA Masanari

  Department of Neurosurgery, Fukuoka University Chikushi Hospital

• KODAMA Tomonobu

  Department of Neurosurgery, Fukuoka University Chikushi Hospital

• NII Kouhei

  Department of Neurosurgery, Fukuoka University Chikushi Hospital

• AIKAWA Hiroshi

  Department of Neurosurgery, Fukuoka University Chikushi Hospital

• IKO Minoru

  Department of Neurosurgery, Fukuoka University Chikushi Hospital

• TOMOKIYO Makoto

  Department of Neurosurgery, Fukuoka University Chikushi Hospital

• MATSUBARA Shuko

  Department of Neurosurgery, Fukuoka University Chikushi Hospital

• TANAKA Akira

  Department of Neurosurgery, Fukuoka University Chikushi Hospital

書誌事項

タイトル別名

• —Technical Note—

抄録

Carotid artery stenting for carotid bifurcation stenosis usually uses the transfemoral approach. However, in patients with proximal common carotid artery (CCA) stenosis, the guiding catheter is difficult to introduce into the narrow origin of the CCA without risking cerebral embolization before activation of the protection device. A technique of cerebral protection by internal carotid artery (ICA) clamping with or without simultaneous external carotid artery (ECA) clamping was used to treat patients with proximal CCA stenosis by the retrograde direct carotid approach. The carotid bifurcation was surgically exposed and retrograde catheterization was performed to approach the stenosis. The ICA was clamped during angioplasty and stenting to avoid cerebral embolization. The ECA was clamped simultaneously if any extracranial-intracranial anastomosis was present. None of five patients treated with this technique experienced ischemic complications attributable to this technique.<br>

収録刊行物

• Neurologia medico-chirurgica

  Neurologia medico-chirurgica 47 (6), 285-288, 2007

  一般社団法人 日本脳神経外科学会

キーワード

• cerebral protection
• common carotid artery stenosis
• retrograde approach
• stent

詳細情報

• CRID: 1390001205054511104
• NII論文ID: 110006292143
• NII書誌ID: AN00358613
• DOI: 10.2176/nmc.47.285
• ISSN: 13498029
• ISSN: 04708105
• Web Site: http://www.jstage.jst.go.jp/article/nmc/47/6/47_6_285/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2008001333
• 本文言語コード: en
• データソース種別:
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  • Crossref
  • CiNii Articles
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