Coaxial catheter technique in carotid artery stenting implantation via radial artery approach:its effectiveness and safety
10.3969/j.issn.1008-794X.2023.12.002
- VernacularTitle:同轴导管技术在经桡动脉入路行颈动脉支架植入术有效性及安全性研究
- Author:
Haihua YANG
1
;
Jinglin YUAN
;
Na CHEN
;
Junwei NIU
;
Xiaojie SUI
Author Information
1. 102600 北京 首都医科大学大兴教学医院
- Keywords:
radial artery;
carotid artery;
stent
- From:
Journal of Interventional Radiology
2023;32(12):1169-1173
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effectiveness and safety of coaxial catheter technique in carotid artery stent implantation via radial artery approach.Methods The general and clinical data of patients,who underwent carotid artery stent implantation via radial artery approach at the Department of Neurology,Daxing Teaching Hospital of Capital Medical University of China between January 2021 and October 2022,were retrospectively analyzed.During the operation,coaxial catheter technology was used to make a 6F catheter inserting into the target vessel for performing carotid stent implantation,and the rate of successful catheter placement,surgical success rate,and perioperative complications were analyzed.Results A total of 40 patients,who underwent carotid artery stent implantation via radial artery approach,were enrolled in this study.The involved vessels included left internal carotid artery(n=16),right internal carotid artery(n=24),type Ⅰaortic arch(n=13),type Ⅱ aortic arch(n=20),type Ⅲ aortic arch(n=7),and bovine aortic arch(n=1).The rate of successful catheter placement was 100％,the surgical success rate was 95％,and no procedure-related complications occurred.The time spent on surgery was(34.4±13.6)min.No patients developed symptoms of cerebral infarction or myocardial infarction in 30 days after the operation.Conclusion The use of coaxial catheter technology can make the catheter inserting into the target vessel quickly and avoid repeated catheter exchange.Coaxial catheter technology is safe and effective in performing carotid artery stent implantation via radial artery approach.(J Intervent Radiol,2023,32:1169-1173)
