title: A 6F guide sheath for endovascular treatment of intracranial aneurysms.
abstract: BACKGROUND
  Stable insertion of guide catheters via the femoral route can prove difficult because of tortuous vasculature leading to failure of endovascular treatment of intracranial aneurysms.
  
  
  RESULTS
  We report our experience using a long braided introducer sheath (6F Terumo Destination) with an inner diameter of 0.087 inches. It allowed the simultaneous use of multiple catheters or adjunctive techniques (balloon-assisted or stent-assisted coiling) while providing excellent support in 60 procedures involving coiling of anterior circulation aneurysms.
  
  
  CONCLUSIONS
  The use of a long introducer sheath, by enhancing stability in the aortic arch and supraaortic vessels, provides another solution to the problem of vascular tortuosity that hinders endovascular treatment of intracranial lesions.
authors: Service de Neuroradiologie France, Hôpital Henri Mondor, AP-HP, 94000, Créteil, France. raphael.blanc@hmn.aphp.fr
authors: Raphaël
authors: R
authors: Blanc
authors: Frédéric
authors: F
authors: Deschamps
authors: Julita
authors: J
authors: Orozco-Vasquez
authors: Philippe
authors: P
authors: Thomas
authors: André
authors: A
authors: Gaston
mesh_terms: D000800:Angioplasty, Balloon / Q000295:instrumentation*; D021721:Balloon Occlusion / Q000295:instrumentation*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002404:Catheterization / Q000295:instrumentation*; D004867:Equipment Design; D005263:Femoral Artery; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome