Efficacy of the Insertion-support Guiding Catheter in Approaching Intracranial or Craniocervical Lesions in Patients with the Difficulty of Extracranial Trans-arterial Access

Objective: We aimed to investigate the efficacy of the insertion-support guiding catheter (ISGC) for approaching target lesions during endovascular therapy in patients with severe atherosclerotic or tortuous arteries.Case Presentations: The ISGC is an 8 Fr, JB2 shape, stiff-type, short guiding cathe...

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Bibliographic Details
Published in:Journal of Neuroendovascular Therapy 2020, Vol.14(1), pp.36-42
Main Authors: Himeno, Takahiro, Ota, Shinzo, Ohtonari, Tatsuya, Kanbara, Mizuki, Takemaru, Makoto, Nomura, Eiichi, Kohriyama, Tatsuo
Format: Article
Language:Japanese
Subjects:
atherosclerosis
endovascular therapy
insertion-support guiding catheter
thrombectomy
tortuous vessels
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Summary:Objective: We aimed to investigate the efficacy of the insertion-support guiding catheter (ISGC) for approaching target lesions during endovascular therapy in patients with severe atherosclerotic or tortuous arteries.Case Presentations: The ISGC is an 8 Fr, JB2 shape, stiff-type, short guiding catheter. We used ISGC for 52 patients between April 2007 and March 2018, microcatheters or therapeutic devices were delivered to target lesions via ISGC in 46 (88.4%) of the 52 patients, and none of them developed associated complications. Herein, we present three representative cases.Conclusions: An ISGC is useful for vascular intervention in patients with atherosclerotic or tortuous arteries.
ISSN:1882-4072
2186-2494
DOI:10.5797/jnet.tn.2019-0054