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Neuroradiology

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01-07-2007 | Interventional Neuroradiology

A 6F guide sheath for endovascular treatment of intracranial aneurysms

Authors: Raphaël Blanc, Frédéric Deschamps, Julita Orozco-Vasquez, Philippe Thomas, André Gaston

Published in: Neuroradiology | Issue 7/2007

Abstract

Introduction

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.

Methods and 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.

Conclusion

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.

Baldi S, Mounayer C, Piotin M, et al (2003) Balloon-assisted coil placement in wide-neck bifurcation aneurysms by use of a new, compliant balloon microcatheter. AJNR Am J Neuroradiol 24:1222–1225PubMed

Lylyk P, Cohen J, Ceratto R, et al (2002) Angioplasty and stent placement in intracranial atherosclerotic stenoses and dissections. AJNR Am J Neuroradiol 23:430–436PubMed

Kanamalla US, Kochan JP (2006) Neurointerventional guide sheath. AJNR Am J Neuroradiol 27:951PubMed

Eckard DA, Krehbiel KA, Johnson PL, et al (2003) Stiff guide technique: technical report and illustrative case. AJNR Am J Neuroradiol 24:275–278PubMed

Blanc R, Piotin M, Mounayer C, et al (2006) Direct cervical arterial access for intracranial endovascular treatment. Neuroradiology 48:925–929PubMedCrossRef

Title: A 6F guide sheath for endovascular treatment of intracranial aneurysms
Authors: Raphaël Blanc
Frédéric Deschamps
Julita Orozco-Vasquez
Philippe Thomas
André Gaston
Publication date: 01-07-2007
Publisher: Springer-Verlag
Published in: Neuroradiology / Issue 7/2007
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-007-0233-1

At a glance: The STEP trials

Springer Medicine

A 6F guide sheath for endovascular treatment of intracranial aneurysms

Abstract

Introduction

Methods and results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods and results

Conclusion

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