The clinical results of transcervical carotid artery stenting and frequency chosen as the approach route of carotid artery stenting in 1,067 consecutive cases

Matsuda, Yoshikazu; Terada, Tomoaki; Masuo, Osamu; Matsumoto, Hiroyuki; Ohshima, Kousuke; Tsumoto, Tomoyuki; Tsuura, Mitsuharu

doi:10.1007/s00701-013-1682-4

Cited by 12 publications

(10 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An additional 9% were treated with a transbrachial approach. The remaining 10 cases (0.9%) could not be catheterized with either approach but were successful with a transcervical approach 7. The lesion was in the left carotid in 70% of the cases, again highlighting the challenge of catheterizing the left side.…”

Section: Discussionmentioning

confidence: 99%

“…Difficult catheter access can lead to lower rates of recanalization and ultimately poor clinical outcomes. Transcervical access has been a successful alternate strategy for carotid stenting7 and aneurysm coiling 8. In this study, direct percutaneous puncture and catheterization of the common carotid artery was instrumental in achieving rapid and successful revascularization in the case of acute stroke intervention.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Transcervical access in acute ischemic stroke

Jadhav

Ribó

Grandhi

et al. 2013

J NeuroIntervent Surg

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Transcervical access in acute ischemic stroke

Jadhav

Ribó

Grandhi

et al. 2013

J NeuroIntervent Surg

View full text Add to dashboard Cite

show abstract

“…CAS with the transbrachial approach has recently been reported [ 10 - 12 ]. Matsuda et al [ 13 ] reported that 9% (96/1,067) of CAS required the transbrachial approach. Conversely, there are a small number of reports regarding thrombectomy in acute ischemic stroke via the transbrachial approach [ 3 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

Mechanical Thrombectomy for Large Vessel Occlusion via the Transbrachial Approach: Case Series

et al. 2020

View full text Add to dashboard Cite

Mechanical thrombectomy has become a standard treatment for acute ischemic stroke with large vessel occlusion. In aged patients, it is difficult to guide the catheter via the transfemoral approach due to vessel tortuosity and aortic elongation. We report our preliminary clinical experience using the transbrachial approach. Among the 119 patients who underwent thrombectomy from April 2018 to December 2019, a total of 5 patients were treated via the transbrachial approach. Clinical outcomes were retrospectively analyzed. Successful reperfusion was achieved in 4 out of 5 cases. There was 1 death due to symptomatic intracranial hemorrhage. One patient had a good outcome at discharge. There were no access-site complications associated with any of these cases. Transbrachial access for mechanical thrombectomy is feasible and can provide an alternative to the transfemoral approach.

show abstract

“…Transcervical access has been a successful alternate strategy for carotid stenting 10 and aneurysm coiling. 11…”

Section: Discussionmentioning

confidence: 99%

Mechanical thrombectomy with ‘ADAPT’ technique by transcervical access in acute ischemic stroke

et al. 2015

View full text Add to dashboard Cite

BackgroundThe mechanical thrombectomy (MT) for endovascular clot retrieval has dramatically improved successful revascularization and clinical outcome in selected acute stroke patients. MT is typically performed via a transfemoral approach, but catheterization of the occluded vessel can be problematic in cases of extensive vessel tortuosity. We describe a case of MT with the ‘ADAPT’ technique by direct carotid access due to an inability to catheterize the ICA by a transfemoral approach for acute cerebral ischemia in the setting of left MCA occlusion. Excellent angiographic and good clinical results were obtained without any complications.Case reportAn 80-year-old woman was admitted with a stroke by occlusion of the left MCA, with an NIHSS: 11, and an ASPECT: 7 in the CT. Under sedation a transfemoral angiography was performed, but after multiple attempts, it was impossible to make a stable catheterization of the left CCA. A transcervical approach was pursued. With ultrasound guidance the CCA was catheterized. Using the ‘ADAPT’ technique, we performed a successful MT. Post-procedure angiography (at 14 minutes) demonstrated recanalization of the entire left MCA (TICI: 3), without complications. The carotid access point was closed with a percutaneous closure. Control TC at 24 h showed a slight hypodensity in the left lenticular nucleus, and loss of gray-white matter differentiation in the adjacent cortex. Neurologically, the patient presented with progressive improvement. At discharge, she had an NIHSS: 0, mRS: 0 and Barthel: 100.ConclusionsMT by direct carotid access is an effective alternative technique in those cases where it is not accessible by a transfemoral approach.

show abstract

The clinical results of transcervical carotid artery stenting and frequency chosen as the approach route of carotid artery stenting in 1,067 consecutive cases

Abstract: CAS via a transcervical approach was safe and feasible, and its frequency chosen as an approach route was 0.9%. This procedure can be an alternative to transfemoral or transbrachial approaches when CAS via either of these approaches is too difficult.

Cited by 12 publications

References 19 publications

Transcervical access in acute ischemic stroke

Transcervical access in acute ischemic stroke

Mechanical Thrombectomy for Large Vessel Occlusion via the Transbrachial Approach: Case Series

Mechanical thrombectomy with ‘ADAPT’ technique by transcervical access in acute ischemic stroke

Contact Info

Product

Resources

About