Abstract：
BACKGROUND:In endovascular embolization of intracranial aneurysms, a tortuous cervical internal carotid artery can limit guiding catheter access to a sufficiently high position. Although intermediate distal access catheters can go beyond the tortuous segment of internal carotid arteries, they may increase the risk of procedure-related complications, require significantly complex technical procedures, and limit the use of adjunctive techniques. Using simple neck extension alone, we successfully improved guiding catheter access in 2 patients. METHODS:Through a provocative test, we confirmed suitability of manual neck extension in 2 patients with severe posterior curvature of a tortuous internal carotid artery. Intraoperatively, we manually extended the neck and stretched the curvatures. We guided a 6F guiding catheter superiorly and performed coil embolization with an occlusion balloon catheter in 1 case and with the balloon-assisted neck remodeling technique in 1 case. RESULTS:Coil embolization was completed without any adverse events in both cases. CONCLUSIONS:The simple neck extension technique successfully improved accessibility of the guiding catheter. As the need for safe and highly skilled intervention increases, our technique may be useful because it can reduce procedure-related complications and allow balloon-assisted techniques.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Takata M,Fukuda H,Kinosada M,Miyake K,Murao Kdoi
10.1016/j.wneu.2017.06.023subject
Has Abstractpub_date
2017-09-01 00:00:00pages
529-533eissn
1878-8750issn
1878-8769pii
S1878-8750(17)30915-4journal_volume
105pub_type
杂志文章abstract：BACKGROUND:Successful resection of arteriovenous malformation (AVM) depends on preoperative assessment of the detailed morphology of the AVM. Simultaneous detailed three-dimensional visualization of the feeding arteries, draining veins, and surrounding structures is needed. The aim of this study was to evaluate the use...
journal_title：World neurosurgery
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abstract：BACKGROUND:With the continuous advancement of the spinal endoscopic technique in recent years, full-endoscopic operations provide a new approach for the treatment of migrated cervical disk herniation. CASE DESCRIPTION:A 42-year-old man presented with nuchal pain and limb numbness for 2 months, with recently developed ...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2014.05.028
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journal_title：World neurosurgery
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journal_title：World neurosurgery
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pub_type： 杂志文章
doi：10.1016/j.wneu.2018.02.075
更新日期：2018-05-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2011-05-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2014.06.009
更新日期：2014-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,随机对照试验
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更新日期：2016-06-01 00:00:00
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更新日期：2019-10-01 00:00:00
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更新日期：2017-10-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2018-12-01 00:00:00
