Pull-Through Buddy Wire Technique for Endovascular Thrombectomy in Patients with Acute Ischemic Stroke: Technical Note
10.5469euroint.2020.00409
- Author:
Pin-Yi CHIANG
1
;
Yen-Heng LIN
;
Yu-Cheng HUANG
;
Chung-Wei LEE
Author Information
1. Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan
- Publication Type:Technical Note
- From:Neurointervention
2021;16(1):64-69
- CountryRepublic of Korea
- Language:English
-
Abstract:
Excessive tortuosity is a notable cause of failed endovascular thrombectomy for acute large-vessel occlusion stroke. Transcervical access (TCA) is a commonly proposed solution for overcoming this difficulty. However, the large-bore catheter usually used in TCA increases the risk of serious local complications. This paper presents a modified technique for TCA that uses a pull-through buddy wire (PTBW) to track a large-bore femoral guiding sheath (GS) into the carotid artery via a small carotid puncture site. The carotid puncture site can be easily managed through gentle manual compression. Two illustrative cases using this technique to deal with a large aortic arch and tortuous left common carotid artery are reported. In both cases, recanalization was achieved after successful GS placement. Using a PTBW is feasible in TCA.
