Feasibility and safety of transbrachial approach for patients with severe carotid artery stenosis undergoing stenting

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Chiung-Jen WuHon-Kan Yip

Abstract

Although sporadic successful cases using the transradial approach (TRA) for carotid stenting have been reported, the safety and feasibility of carotid stenting using either TRA or a transbrachial approach (TBA) have not been fully investigated. Recently, we have developed a safe and feasible method of TRA for cerebrovascular angiographic studies. This study investigated whether a TBA approach using a 7-French (F) Kimny guiding catheter for carotid stenting is safe and feasible for patients with severe carotid stenosis. Thirteen patients were enrolled into this study (age range, 63-78 years). Seven of these 13 patients had severe peripheral vascular disease. A retrograde-engagement technique, involving looping 6-F Kimny guiding catheter, was utilized for carotid angiographic study. For carotid stenting, the 6-F Kimny guiding catheter was replaced with a 7-F Kimny guiding catheter, and the procedure was performed as the follows. First, an extra-support wire was inserted into the middle portion of external carotid artery (ECA). Second, a 0.035-inch Teflon wire was advanced into the common carotid artery. Then, the 6-F guiding catheter was exchanged for a 7-F Kimny guiding catheter. Third, if the first and second steps did not prov...Continue Reading

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Citations

Sep 17, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Hon-Kan YipChiung-Jen Wu
Jul 28, 2009·Neurologia Medico-chirurgica·Yutaka MitsuhashiKenji Ohata
Sep 13, 2013·Journal of Atherosclerosis and Thrombosis·Yung-Lung ChenHon-Kan Yip
Jul 22, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Zoltán RuzsaBéla Merkely
Aug 13, 2014·International Journal of Cardiology·Ching-Chang FangChiung-Jen Wu
Sep 21, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Tristram G HortonKevin M Cockroft
Jan 7, 2015·Journal of Neurointerventional Surgery·Diogo C HaussenDileep R Yavagal
Oct 2, 2007·Surgical Neurology·Mahmoud M TahaWaro Taki
Dec 18, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Hsiu-Yu FangChiung-Jen Wu
Jan 3, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Hsiu-Yu FangChiung-Jen Wu
Feb 16, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Hwa Wooi GanChiung-Jen Wu
Apr 12, 2016·International Journal of Cardiology·Hon-Kan YipCheuk-Man Yu
Aug 18, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Shigeyuki SakamotoKaoru Kurisu

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