| Two-wire (0.014 & 0.018-inch) technique to facilitate innominate artery stenting under embolic protection. | |
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MedLine Citation:
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PMID: 20939725 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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PURPOSE: To describe a 2-wire technique for innominate artery stent placement under embolic protection. TECHNIQUE: Confronted with a high-grade innominate artery stenosis that blocked passage of a 0.035-inch stent delivery system from the femoral approach, a 0.018-inch guidewire was advanced in retrograde fashion via the right radial artery and captured via the femoral approach, establishing right radial–femoral through-and-through access. The 0.018-inch guidewire provided excellent support for positioning an 8-F hydrophilic sheath at the origin of the innominate artery. A 0.035-inch catheter was used to cross the lesion from the femoral approach, and a 0.014-inch buddy wire was introduced into the right common carotid artery. A 7-mm SpideRX filter was then deployed over the 0.014-inch guidewire. The 2-wire combination was used to load a 0.035-inch–compatible balloon-expandable stent system, which was deployed in the innominate artery and flared proximally, with excellent angiographic result. CONCLUSION: This technique provided excellent support in difficult anatomy while enabling use of a 0.035-inch–compatible stent and embolic protection. It has also been applied in the subclavian artery with protection of the vertebral or internal mammary artery and for lower extremity interventions. |
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Authors:
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Evan J Ryer; Gustavo S Oderich |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 17 ISSN: 1545-1550 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 652-6 Citation Subset: IM |
Affiliation:
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Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA. |
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| Comments/Corrections | |
Comment In:
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J Endovasc Ther. 2010 Oct;17(5):657-9
[PMID:
20939726
]
J Endovasc Ther. 2010 Oct;17(5):660 [PMID: 20939727 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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