Direct percutaneous carotid access for carotid angioplasty and stenting

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
P Bergeron

Abstract

To describe a direct percutaneous carotid access technique for carotid artery stenting (CAS) that circumvents the potential for embolization that can occur during catheter manipulation in the aortic arch during femoral access. After inducing anesthesia, an ultrasound transducer is placed at the base of the neck above the clavicle. A 21-G, 7-cm needle from a micropuncture introducer is used for single-wall puncture of the common carotid artery (CCA). A 0.018-inch guidewire is inserted into the needle for placement of a 4-F, 10-cm introducer. After placing a 0.035-inch angled guidewire in the external carotid artery, the 4-F introducer is exchanged for the closure device sheath (preclose technique). A regular 6-F introducer is then placed inside the closure device sheath, and a low dose (2000 units) of heparin is administered for the brief CAS procedure, which is performed under cerebral protection. After a successful procedure is confirmed, the protection device is retrieved, and the closure device is applied to seal the puncture. This approach has a low rate of neurological and access site complications. Percutaneous direct carotid access could extend the indications for CAS to include difficult anatomies, high-risk patients, a...Continue Reading

References

Feb 1, 1996·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·C Alessandri, P Bergeron
Feb 1, 1996·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·E B DiethrichD B Reid
May 1, 1996·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·E B DiethrichD B Reid
Jan 19, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·N Al-MubarakG S Roubin
Oct 20, 2006·The New England Journal of Medicine·Jean-Louis MasUNKNOWN EVA-3S Investigators
Jan 24, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G L FaggioliA Stella
Apr 16, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C D LiapisUNKNOWN ESVS Guidelines Collaborators
Dec 1, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G PalomboM Taurino
May 28, 2010·The New England Journal of Medicine·Thomas G BrottUNKNOWN CREST Investigators
Aug 5, 2010·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Nazzareno StellaMaurizio Taurino
Oct 13, 2010·Stroke; a Journal of Cerebral Circulation·Vito A ManteseUNKNOWN CREST Investigators
Mar 29, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Robert M BersinPaolo Rubino
Feb 8, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Piero MontorsiAntonio L Bartorelli

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Citations

Mar 24, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Wei-Chieh LeeChiung-Jen Wu
Sep 29, 2019·World Journal of Clinical Cases·Fang XuYong-Sheng Liu
Nov 30, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Issei TakanoKensuke Suzuki
Oct 7, 2020·Expert Review of Cardiovascular Therapy·Olesya OsipovaAndrey Karpenko

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