Real-time angiography in endovascular revascularization of intracranial atherosclerotic internal carotid artery stenosis under proximal balloon protection: “Retrograde suction-injection” technique and literature review - 25/06/22
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Highlights |
• | Angioplasty/stenting is a treatment option for patients with medically refractory symptomatic intracranial atherosclerotic disease. |
• | Intracranial angioplasty/stenting carries a risk of procedure-related embolism as well as reperfusion hemorrhage and in-stent thrombosis. |
• | We have devised a new embolic protection system named retrograde suction-injection. |
• | This technique can achieve both ipsilateral ICA protection and angiography. |
• | This method can be a useful therapeutic option for refractory intracranial atherosclerotic disease below the carotid t junction. |
Abstract |
Intracranial angioplasty/stenting is a treatment option for patients with symptomatic intracranial atherosclerotic disease refractory to aggressive medical treatment. However, it carries a risk of procedure-related embolism as well as reperfusion hemorrhage and in-stent thrombosis. We have devised a new embolic protection system which can achieve both total ipsilateral internal carotid artery (ICA) embolic protection and real-time visualization of the target lesion during endovascular revascularization of intracranial atherosclerotic disease below the carotid T junction. Herein, we describe a case of medically refractory symptomatic intracranial atherosclerotic ICA stenosis successfully treated with this method.
El texto completo de este artículo está disponible en PDF.Keywords : Distal embolic complication, Embolic protection system, Geographical miss, Intracranial artery occlusion, Intracranial artery stenosis, Intracranial atherosclerotic disease
Esquema
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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