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.
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.
Authors: Donald A Eckard; Kyle A Krehbiel; Philip L Johnson; Timothy G Raveill; Valerie R Eckard Journal: AJNR Am J Neuroradiol Date: 2003-02 Impact factor: 3.825
Authors: Luigi Di Pino; Antonio G Franchina; Serena Costa; Stella Gangi; Francesco Strano; Mario Ragusa; Luca Costanzo; Corrado Tamburino; Davide Capodanno Journal: Int J Cardiovasc Imaging Date: 2020-09-10 Impact factor: 2.357