Stenting for Common Carotid Artery Stenosis Using the Sheath Pull-Through Technique

Tomonari Saito; Masataka Takeuchi; Kentaro Suzuki; Yasuhiro Nishiyama; Seiji Okubo; Kazumi Kimura

doi:10.5797/jnet.tn.2020-0014

Stenting for Common Carotid Artery Stenosis Using the Sheath Pull-Through Technique

J Neuroendovasc Ther. 2021;15(2):129-133. doi: 10.5797/jnet.tn.2020-0014. Epub 2020 Sep 17.

Authors

Tomonari Saito^{1

2}, Masataka Takeuchi³, Kentaro Suzuki², Yasuhiro Nishiyama², Seiji Okubo¹, Kazumi Kimura²

Affiliations

¹ Department of Cerebrovascular Medicine, NTT Medical Center Tokyo, Tokyo, Japan.
² Department of Neurology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan.
³ Department of Neurosurgery, Seishou Hospital, Odawara, Kanagawa, Japan.

Abstract

Objective: We report the "sheath pull-through technique" for stenting of common carotid artery stenosis (CCAS).

Case presentations: In this technique, an 8-10 Fr super-long sheath (SLS) 55-65 cm is inserted into the femoral artery and the brachiofemoral pull-through technique is subsequently used, improving the support of the sheath itself. We pulled both ends of a pull-through wire to further improve the support of SLS, stabilizing guiding catheter (GC) during the procedure in two cases.

Conclusion: This technique stabilizes GC during CCAS stenting.

Keywords: common carotid artery stenosis; pull-through technique; stenting; super long sheath.