Efficacy of the Insertion-support Guiding Catheter in Approaching Intracranial or Craniocervical Lesions in Patients with the Difficulty of Extracranial Trans-arterial Access

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  • Himeno Takahiro
    Department of Neurology, Brain Attack Center Ota Memorial Hospital, Fukuyama, Hiroshima, Japan
  • Ota Shinzo
    Department of Neurosurgery, Brain Attack Center Ota Memorial Hospital, Fukuyama, Hiroshima, Japan
  • Ohtonari Tatsuya
    Department of Spinal Surgery, Brain Attack Center Ota Memorial Hospital, Fukuyama, Hiroshima, Japan
  • Kanbara Mizuki
    Department of Neurosurgery, Brain Attack Center Ota Memorial Hospital, Fukuyama, Hiroshima, Japan Department of Neurosurgery, Shimane University School of Medicine, Izumo, Shimane, Japan
  • Takemaru Makoto
    Department of Neurology, Brain Attack Center Ota Memorial Hospital, Fukuyama, Hiroshima, Japan
  • Nomura Eiichi
    Department of Neurology, Brain Attack Center Ota Memorial Hospital, Fukuyama, Hiroshima, Japan
  • Kohriyama Tatsuo
    Department of Neurology, Brain Attack Center Ota Memorial Hospital, Fukuyama, Hiroshima, Japan

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<p>Objective: We aimed to investigate the efficacy of the insertion-support guiding catheter (ISGC) for approaching target lesions during endovascular therapy in patients with severe atherosclerotic or tortuous arteries.</p><p>Case Presentations: The ISGC is an 8 Fr, JB2 shape, stiff-type, short guiding catheter. We used ISGC for 52 patients between April 2007 and March 2018, microcatheters or therapeutic devices were delivered to target lesions via ISGC in 46 (88.4%) of the 52 patients, and none of them developed associated complications. Herein, we present three representative cases.</p><p>Conclusions: An ISGC is useful for vascular intervention in patients with atherosclerotic or tortuous arteries.</p>

収録刊行物

  • 脳神経血管内治療

    脳神経血管内治療 14 (1), 36-42, 2020

    特定非営利活動法人 日本脳神経血管内治療学会

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