Hemostatic closure device after carotid puncture for stent and coil placement in an intracranial aneurysm: technical note.
A 71-year-old female patient presented with a wide-necked carotid cavernous aneurysm for which stent and coil placement was planned. Arterial tortuosity required direct puncture of the common carotid artery for access. The procedure was performed while the patient was receiving antiplatelet and anticoagulative therapy. To avoid potentially hazardous and prolonged carotid compression, a closure device (Angio-Seal) was used at the end of the procedure. The postoperative period was clinically uneventful. Sonographic and angiographic follow-up of the carotid artery were performed.
Blanc
Raphaël
R
Department of Interventional Neuroradiology, Fondation Rothschild, Paris, France.
Mounayer
Charbel
C
Piotin
Michel
M
Sadik
Jean-Claude
JC
Spelle
Laurent
L
Moret
Jacques
J
D000368:Aged; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D011677:Punctures; D015607:Stents; D014463:Ultrasonography