Use of a guide wire system to insert guiding catheters.
In patients with severe arteriosclerosis or anatomical variations such as a bovine arch, the insertion of a guiding catheter for carotid artery stenting is difficult. The authors use a guide wire system as an anchor and advance the guiding catheter to an area proximal to the stenotic structure. This method is useful and safer than others for carotid artery stenting.
Nagayama
Tetsuya
T
Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan. tetsuya@m.kufm.kagoshima-u.ac.jp
Nishimuta
Yosuke
Y
Sugata
Sei
S
Nishizawa
Teruhiko
T
Arita
Kazunori
K
D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001027:Aortography; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D004867:Equipment Design; D006801:Humans; D020766:Intracranial Embolism / Q000517:prevention & control; D015607:Stents