Right transradial approach for carotid artery stenting
10.3760/cma.j.issn.1007-631X.2017.09.009
- VernacularTitle:经右桡动脉入路行颈动脉支架成形术的可行性研究
- Author:
Xingzhu WEN
1
;
Lefeng QU
;
Kangkang ZHI
;
Jun BAI
;
Yongfa WU
;
Xiaomin WANG
;
Tong HUANG
Author Information
1. 第二军医大学附属长征医院血管外科
- Keywords:
Carotid stenosis;
Stents;
Transradial approach
- From:
Chinese Journal of General Surgery
2017;32(9):750-753
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and safety of carotid artery stenting (CAS) via right transradial approach (TRA).Methods A retrospective analysis was made on 46 cases undergoing the CAS via right TRA.Patients were divided into the right carotid artery group (RCA),bovine left carotid artery group (B-LCA),nonbovine carotid artery group (NB-LCA) according to the lesion location.Low TRA or high TRA were selected to overcome the difficulties of insufficient supporting power,using techniques such as catheter looping and retrograde engagement technique(CLRET).Results CAS were successful in all cases (100％),the differences of the operation time and fluoroscopy time among RCA group,B-LCA group and NB-LCA group were not significant.In NB-LCA group,CLRET were applied in 10 cases (55.56％,10/18),includeing 8 cases with type Ⅲ aortic arch(100％,8/8)and 2 cases with type Ⅱ aortic arch (33.33％,2/6).The CLRET prolonged the operation time and fluoroscopy time [(39.45 ±7.27) min vs.(30.80±4.66) min;(11.84 ± 2.05) min vs.(9.91 ± 1.45) min,P ＜0.05).There was no cerebrovascular events and puncture point complications in perioperative period.Conclusion Right transradial approach for carotid artery stenting is safe and technically feasible,especially in RCA stenosis and LCA stenosis with type Ⅰ or Ⅱ aortic arch.
