Direct carotid puncture for the endovascular treatment of anterior circulation aneurysms.

Abstract

We report the usefulness of Guglielmi detachable coil (GDC) embolization by direct carotid puncture for anterior circulation aneurysms. For all 27 patients, GDC embolization by direct carotid puncture was safely performed by using a 5F sheath introducer 5 cm long and a Tracker-38 catheter. Neurologic deficits and hemorrhage were not found in any patient during the follow-up period. If the transfemoral approach cannot be applied, GDC embolization should be considered as an alternative method.

• Authors: K Nii, K Kazekawa, M Onizuka, H Aikawa, M Tsutsumi, M Tomokiyo, M Iko, T Kodama, S Matsubara, Y Go, A Tanaka
• Journal: AJNR. American journal of neuroradiology (AJNR Am J Neuroradiol) Vol. 27 Issue 7 Pg. 1502-4 (Aug 2006) ISSN: 0195-6108 [Print] United States
• PMID: 16908568 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anticoagulants
• Heparin

Topics

• Aged
• Aged, 80 and over
• Aneurysm, False (etiology)
• Anticoagulants (therapeutic use)
• Carotid Artery Diseases (etiology)
• Carotid Artery, Common (surgery)
• Carotid Artery, Internal (anatomy & histology)
• Embolization, Therapeutic (instrumentation, methods)
• Equipment Design
• Female
• Follow-Up Studies
• Hematoma (etiology)
• Hemostatic Techniques
• Heparin (therapeutic use)
• Humans
• Intracranial Aneurysm (therapy)
• Male
• Neurologic Examination
• Ophthalmic Artery (pathology)
• Postoperative Complications
• Punctures (methods)
• Safety
• Subarachnoid Hemorrhage (therapy)