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Acta Neurochirurgica

Erschienen in:

01.03.2010 | Neurosurgical Techniques

Surgical exposure of the carotid artery for endovascular interventional procedures

verfasst von: Ramiro Larrazabal, Paula Klurfan, Dipanka Sarma, Thorsteinn Gunnarsson

Erschienen in: Acta Neurochirurgica | Ausgabe 3/2010

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Abstract

Background

Transfemoral approach for endovascular interventions is not always possible in cases of unfavorable anatomy. We report our experience using a transcervical approach with carotid cut down and direct, controlled puncture of the carotid artery.

Methods

Four patients underwent surgical exposure of the carotid artery for endovascular procedures. One patient had retrograde placement of a stent in the common carotid artery, and three patients had coiling of an intracranial aneurysm. After the endovascular procedure, the sheath was removed and the vessel was closed, under direct visualization.

Results

The technique allowed access to extracranial and intracranial lesions. There were no access site complications. There were no access site-related cardiac, systemic, or neurologic events.

Conclusions

Transcervical access with surgical exposure of the carotid artery for direct and controlled vascular puncture is an effective alternative for endovascular extracranial and intracranial procedures in patients in whom the femoral route cannot be used.

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Titel: Surgical exposure of the carotid artery for endovascular interventional procedures
verfasst von: Ramiro Larrazabal
Paula Klurfan
Dipanka Sarma
Thorsteinn Gunnarsson
Publikationsdatum: 01.03.2010
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 3/2010
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-009-0524-x

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Surgical exposure of the carotid artery for endovascular interventional procedures

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Background

Methods

Results

Conclusions

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