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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 131 - 136 (6page)
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초록· 키워드
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Purpose Mechanical thrombectomy has become the standard of care for acute stroke caused by large vessel occlusion. As more patients are treated endovascularly, the number of older patients with tortuous vessels has risen. In these patients, catheterizing the internal carotid artery via a transfemoral approach can be very difficult or even impossible. Therefore, in selected patients, alternative strategies to the transfemoral approach have to be applied. Materials and Methods We report a case series of six patients undergoing mechanical thrombectomy via a combined transfemoral and transcarotid approach. Puncture of the carotid artery was conducted using roadmap guidance after an unsuccessful transfemoral attempt. Technical aspects and outcomes with this alternative approach were analyzed. Results Direct puncture of the carotid artery was achieved in five out of six patients (83%). In three out of six patients (50%), revascularization (modified Thrombolysis in Cerebral Infarction score ≥2b) was restored. No complications related to endovascular therapy were documented. One patient showed good neurological outcome (modified Rankin Scale [mRS] 5 at admission, mRS 1 at discharge). Conclusion A combined transfemoral/transcarotid approach can be an alternative vascular access in patients with problematic vessel anatomy.
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등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Kwang Wook Jo / 2010 / Is Transradial Cerebral Angiography Feasible and Safe? A Single Center’s Experience / 대한신경외과학회지 47(5):332~337
Goland J / 2017 / Transradial approach to treating endovascular cerebral aneurysms: case series and technical note / Surg Neurol Int 8:73
Montorsi P / 2016 / Carotid artery stenting with proximal embolic protection via a transradial or transbrachial approach: pushing the boundaries of the technique while maintaining safety and efficacy / J Endovasc Ther 23:549~560
Goyal M / 2015 / Randomized assessment of rapid endovascular treatment of ischemic stroke / N Engl J Med 372:1019~1030
Jovin TG / 2015 / Thrombectomy within 8 hours after symptom onset in ischemic stroke / N Engl J Med 372:2296~2306
Goland J / 2017 / Transradial approach to treating endovascular cerebral aneurysms: case series and technical note / Surg Neurol Int 8:73
Montorsi P / 2016 / Carotid artery stenting with proximal embolic protection via a transradial or transbrachial approach: pushing the boundaries of the technique while maintaining safety and efficacy / J Endovasc Ther 23:549~560
Goyal M / 2015 / Randomized assessment of rapid endovascular treatment of ischemic stroke / N Engl J Med 372:1019~1030
Jovin TG / 2015 / Thrombectomy within 8 hours after symptom onset in ischemic stroke / N Engl J Med 372:2296~2306
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