Document Detail


A reappraisal of the common carotid artery as an access site in interventional procedures for acute stroke therapies.
MedLine Citation:
PMID:  22133813     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The cervical approach was the first to be used by neuroangiography pioneers, but due to limited access, drawbacks, and significant complications it was surpassed long ago in favor of the femoral approach. However, common carotid access can be a valuable alternative to femoral access in selected neuroendovascular cases, particularly in emergency procedures involving one of the carotid arteries when the femoral approach is impossible or contraindicated. We describe the successful use of carotid artery access for the treatment of acute stroke in a patient in whom common carotid artery and internal carotid artery tortuosity prevented the delivery of endovascular therapy to the middle cerebral artery via femoral artery access. Endovascular neurosurgeons should be familiar with percutaneous carotid artery access to provide comprehensive endovascular care to the growing subset of patients with complex vascular anatomy.
Authors:
José E Cohen; John M Gomori; Ronen R Leker; Eyal Itshayek
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-29
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  -     ISSN:  1532-2653     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-12-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Neurosurgery, Hadassah Hebrew-University Medical Center, POB 12000, Jerusalem 91120, Israel; Department of Radiology, Hadassah Hebrew-University Medical Center, Jerusalem, Israel.
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