Transradial and Transbrachial Arterial Approach for Simultaneous Carotid Angiographic Examination and Stenting Using Catheter Looping and Retrograde Engagement Technique

Fang, Hsiu‐Yu; Chung, Sheng-Ying; Sun, Cheuk‐Kwan; Youssef, Ali A.; Bhasin, Anuj; Tsai, Tzu‐Hsien; Yang, Cheng‐Hsu; Chen, Chien-Jen; Hussein, Hisham; Wu, Chiung‐Jen; Yip, Hon‐Kan

doi:10.1016/j.avsg.2009.12.001

Cited by 46 publications

(49 citation statements)

References 30 publications

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“…When we experienced difficulty in advancing the coaxial system over the hydrophilic guidewire, the diagnostic catheter (4 or 5F) was initially advanced into the distal CCA target over the hydrophilic guidewire: this allowed the guiding catheter (7 or 8F) to slowly advance into the CCA target over the diagnostic catheter (with a Terumo wire inside). Other alternative techniques for stable cannulation of the CCA in hostile vascular anatomy have been proposed: a direct CCA cutdown with local anaesthesia (Choi et al, [30]), the 'external carotid artery stiff wire technique' (Montorsi et al, [28]), the 'buddy wire technique' [40][41][42], the 'multi-wire technique' (Cardaioli et al, [26]), a homemade modified (pierced) guiding catheter with a manually created hole close to the tip allowing the passage of a second guidewire (Coppi et al, [35]), the 'coronary technique' (Solomon et al, [38]), and recently a transradial or transbrachial arterial approach using the 'catheter looping and retrograde engagement technique' (Fang et al, [39]). …”

Section: Discussionmentioning

confidence: 99%

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Carotid artery stenting in difficult aortic arch anatomy with or without a new dedicated guiding catheter: preliminary experience

et al. 2012

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Section: Discussionmentioning

confidence: 99%

“…Different techniques are used to facilitate cannulation, angioplasty and stenting of ICA in patients with hostile vascular anatomy [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42].…”

Section: Introductionmentioning

confidence: 99%

Carotid artery stenting in difficult aortic arch anatomy with or without a new dedicated guiding catheter: preliminary experience

et al. 2012

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“…Although the catheter can easily reach head and neck artery lesions via the TRA, the stents used in the carotid and subclavian artery interventions are larger in diameter (28,29). Thus, it is difficult to insert 8F arterial sheaths through radial arteries.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and indications of transradial and transfemoral approaches for peripheral artery stent implantation

Chen

Zeng

et al. 2017

Experimental and Therapeutic Medicine

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Abstract. The transradial approach (TRA) has become an attractive alternative to the transfemoral approach (TFA) in percutaneous coronary intervention. To date, however, these two approaches have not been systematically compared in various percutaneous peripheral artery interventions (PPAIs). In the present study 258 patients with peripheral artery disease that underwent PPAI via the TRA (n=75) or the TFA (n=183) were analyzed. Clinical factors and outcomes in these two groups were compared. The puncture time was significantly longer (P<0.05) and the prevalence of artery vasospasm significantly higher (P<0.05) in patients who underwent PPAI via the TRA rather than via the TFA. However, the complication rate was significantly lower (P<0.05) and the artery compression time (P<0.05) and time bedridden (P<0.05) were significantly shorter via the TRA than via the TFA. These results suggest that PPAI via the TRA was associated with a lower complication rate, and shorter artery compression time and bedridden time than PPAI via the TFA. The TRA may be preferable for bilateral vertebral artery stenosis, whereas the TFA may be preferable for interventional treatment of carotid and subclavian artery stenosis. Therefore, the catheter length, artery support and push force should be comprehensively considered before choosing the TRA or TFA in the interventional treatment of renal artery stenosis.

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“…Additionally, the catheter looping and retrograde engagement technique was used for the carotid angiographic study and CA stenting. The detailed procedures and protocols have been described in our previous studies [26][27][28] .…”

Section: Procedures and Protocolmentioning

confidence: 99%

“…The enrollment criteria have been described in detail in our previous reports [26][27][28] . Briefly, the enrollment criteria were as follows: (1) severe ECCA stenosis (≥ 70%) determined on magnetic resonance imaging (MRI)/MR angiography (MRA) and duplex ultrasound of the carotid arteries performed prior to extracranial and intracranial angiographic studies; (2) a history of stroke (＞2 months), transient ischemic attack or dizziness related to significant ECCA stenosis.…”

Section: Introductionmentioning

confidence: 99%

Levels of Circulating Neopterin in Patients with Severe Carotid Artery Stenosis Undergoing Carotid Stenting

Chen

Tsai

Sung

et al. 2014

JAT

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Aims:The association between an elevated serum neopterin level and the development of coronary artery complex lesions has been extensively assessed; however, the correlation between the serum neopterin level and the development of carotid artery stenosis has seldom been reported. This study tested whether this biomarker is increased in patients with severe carotid artery stenosis (≥ 70%) undergoing carotid artery (CA) stenting and investigated independent predictors of an increased circulating neopterin level. Methods: Fifty patients with severe CA stenosis (CAS) undergoing CA stenting were consecutively enrolled in this study from January 2009 through December 2011. The serum neopterin levels of age-and gender-matched acute ischemic stroke (AIS) patients (n = 120) and control subjects (CS) (n=33) were also measured. A blood sample was prospectively collected from each patient in the catheterization room. Results: The serum levels of neopterin were significantly higher in the CAS patients than in the AIS patients or CS and significantly higher in the AIS patients than in the CS (all p＜0.001). An analysis of the variables of 170 patients (CAS＋AIS) demonstrated that age, a previous history of stroke and severe CAS were significantly correlated with an increased serum level of neopterin (all p＜0.005). A multivariate binary logistic regression analysis of the severe CAS patients (n = 50) demonstrated that age and the creatinine level were independent predictors of a high neopterin level (neopterin level ≥ 16.52 ng/dL, i.e., according to the median value of neopterin) (all p＜0.05). Conclusions: The circulating neopterin levels are significantly higher in patients with severe CAS than in those with AIS. The presence of CAS, age and the creatinine level were significantly correlated with an increased serum neopterin level.

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Transradial and Transbrachial Arterial Approach for Simultaneous Carotid Angiographic Examination and Stenting Using Catheter Looping and Retrograde Engagement Technique

Cited by 46 publications

References 30 publications

Carotid artery stenting in difficult aortic arch anatomy with or without a new dedicated guiding catheter: preliminary experience

Carotid artery stenting in difficult aortic arch anatomy with or without a new dedicated guiding catheter: preliminary experience

Efficacy and indications of transradial and transfemoral approaches for peripheral artery stent implantation

Levels of Circulating Neopterin in Patients with Severe Carotid Artery Stenosis Undergoing Carotid Stenting

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