Direct carotid puncture for the endovascular treatment of anterior circulation aneurysms.
We report the usefulness of Guglielmi detachable coil (GDC) embolization by direct carotid puncture for anterior circulation aneurysms. For all 27 patients, GDC embolization by direct carotid puncture was safely performed by using a 5F sheath introducer 5 cm long and a Tracker-38 catheter. Neurologic deficits and hemorrhage were not found in any patient during the follow-up period. If the transfemoral approach cannot be applied, GDC embolization should be considered as an alternative method.
Nii
K
K
Department of Neurosurgery, Fukuoka University Chikushi Hospital, 377-1 Ohara-Zokumyoin, Chikushino City, Fukuoka 818-8592, Japan.
Kazekawa
K
K
Onizuka
M
M
Aikawa
H
H
Tsutsumi
M
M
Tomokiyo
M
M
Iko
M
M
Kodama
T
T
Matsubara
S
S
Go
Y
Y
Tanaka
A
A
D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000209:etiology; D000925:Anticoagulants / Q000627:therapeutic use; D002340:Carotid Artery Diseases / Q000209:etiology; D017536:Carotid Artery, Common / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000033:anatomy & histology; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology; D006489:Hemostatic Techniques; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D008297:Male; D009460:Neurologic Examination; D009880:Ophthalmic Artery / Q000473:pathology; D011183:Postoperative Complications; D011677:Punctures / Q000379:methods*; D012449:Safety; D013345:Subarachnoid Hemorrhage / Q000628:therapy
D000925:Anticoagulants; D006493:Heparin