Cerebral Protection During Retrograde Carotid Artery Stenting for Proximal Carotid Artery Stenosis : Technical Note
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概要
- 論文の詳細を見る
Carotid artery stenting for carotid bifurcation stenosis usually uses the transfemoral approach. However, in patients with proximal common carotid artery (CCA) stenosis, the guiding catheter is difficult to introduce into the narrow origin of the CCA without risking cerebral embolization before activation of the protection device. A technique of cerebral protection by internal carotid artery (ICA) clamping with or without simultaneous external carotid artery (ECA) clamping was used to treat patients with proximal CCA stenosis by the retrograde direct carotid approach. The carotid bifurcation was surgically exposed and retrograde catheterization was performed to approach the stenosis. The ICA was clamped during angioplasty and stenting to avoid cerebral embolization. The ECA was clamped simultaneously if any extracranial-intracranial anastomosis was present. None of five patients treated with this technique experienced ischemic complications attributable to this technique.
- 社団法人 日本脳神経外科学会の論文
- 2007-06-15
著者
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Kazekawa Kiyoshi
Departments of Neurosurgery, Chikushi Hospital, Fukuoka University
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Aikawa Hiroshi
Departments of Neurosurgery, Chikushi Hospital, Fukuoka University
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TSUTSUMI Masanori
Department of Neurosurgery, Fukuoka University Chikushi Hospital
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ONIZUKA Masanari
Department of Neurosurgery, Fukuoka University Chikushi Hospital
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IKO Minoru
Department of Neurosurgery, Fukuoka University Chikushi Hospital
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KODAMA Tomonobu
Department of Neurosurgery, Fukuoka University Chikushi Hospital
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NII Kouhei
Department of Neurosurgery, Fukuoka University Chikushi Hospital
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Tanaka Akira
Department of Health and Nutrition, College of Human and Environmental Studies, Kanto-Gakuin Univers
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Kodama Tomonobu
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Iko Minoru
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Nii Kohei
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Aikawa Hiroshi
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Aikawa Hiroshi
Department Of Environmental Health Tokai University School Of Medicine
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Kazekawa Kiyoshi
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Onizuka Masanari
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Tsutsumi Masanori
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Tanaka Akira
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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TOMOKIYO Makoto
Department of Neurosurgery, Institute of Neuroscience, St. Mary's Hospital
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Tomokiyo Makoto
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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MATSUBARA Shuko
Department of Neurosurgery, Fukuoka University Chikushi Hospital
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Matsubara Shuko
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Tanaka Akira
Department Of Diagnostic Pathology Jichi Medical University
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Nii Kouhei
Department of Neurosurgery, Fukuoka Kieikai Hospital
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TANAKA Akira
Department of Agricultural Chemistry, Faculty of Agriculture, Tohoku University
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Tsutsumi Masanori
Department of Neurosurgery and Neuroradiology, Fukuoka University Chikushi Hospital
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Kazekawa Kiyoshi
Department of Neurosurgery and Neuroradiology, Fukuoka University Chikushi Hospital
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NII Kouhei
Department of Neurosurgery and Neuroradiology, Fukuoka University Chikushi Hospital
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