https://scholars.lib.ntu.edu.tw/handle/123456789/554490
Title: | Pull-Through Buddy Wire Technique for Endovascular Thrombectomy in Patients with Acute Ischemic Stroke: Technical Note | Authors: | Chiang, Pin-Yi YEN-HENG LIN Huang, Yu-Cheng CHUNG-WEI LEE |
Keywords: | Endovascular procedures; Intracranial embolism; Stroke; Thrombectomy | Issue Date: | Mar-2021 | Journal Volume: | 16 | Journal Issue: | 1 | Source: | Neurointervention | Abstract: | Excessive tortuosity is a notable cause of failed endovascular thrombectomy for acute large-vessel occlusion stroke. Transcervical access (TCA) is a commonly proposed solution for overcoming this difficulty. However, the large-bore catheter usually used in TCA increases the risk of serious local complications. This paper presents a modified technique for TCA that uses a pull-through buddy wire (PTBW) to track a large-bore femoral guiding sheath (GS) into the carotid artery via a small carotid puncture site. The carotid puncture site can be easily managed through gentle manual compression. Two illustrative cases using this technique to deal with a large aortic arch and tortuous left common carotid artery are reported. In both cases, recanalization was achieved after successful GS placement. Using a PTBW is feasible in TCA. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/554490 | ISSN: | 2093-9043 | DOI: | 10.5469/neuroint.2020.00409 |
Appears in Collections: | 醫學院附設醫院 (臺大醫院) |
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