By Peter Schneider, Todd Bohannon, Michael Silva
From sufferer choice and tracking to follow-up care, Carotid Interventions is the 1st resource to supply a realistic how-to method of carotid angioplasty and stenting-providing maneuvers and techniques for tough events, in addition to step by step counsel on particular surgeries, apparatus choice and instrumentation, security units, and room/facility structure.
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Extra info for Carotid interventions
Pressure is maintained at the arteriotomy with the nondominant hand until the sheath goes into the artery. Advance the sheath to its hub. After the sheath is placed, take out the dilator, aspirate through the sidearm port and flush with heparinized saline. The sheath is flushed intermittently during the case. Guidewires and Catheters for Carotid Arteriography Some of the many possible choices for these guidewires and catheters that we commonly use are listed in Table 4. 035-in. platform guidewires are used.
Although direct, common carotid artery access, either percutaneous or open, is sometimes used for interventions, it is almost never required for carotid arteriography. A brief neurological examination does not take much time but is essential. Included in the evaluation should be visual fields, cranial nerves III through XII, extremity motor and sensory function, and cerebellar function ( balance and coordination). A deficit in any of these areas must be compared with the postangiography condition of the patient.
Myla S. Carotid access techniques: an algorithmic approach. Carotid Interv 2001; 3:2–12. Mubarak Al, Vitek JJ, Iyer SS, New G, Roubin GS. Carotid stenting with distal-balloon protection via the transbrachial approach. J Endovasc Ther 2001; 8(6):571–575. Sievert H, Ensslen R, Fach A, et al. Brachial artery approach for transluminal angioplasty of the internal carotid artery. Catheter Cardiovasc Diagn 1996; 39:421–423. 3 Equipment, Inventory, and Facilities for Carotid Angioplasty and Stenting DANIEL G.
Carotid interventions by Peter Schneider, Todd Bohannon, Michael Silva