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A 6F guide sheath for endovascular treatment of intracranial aneurysms

  • Interventional Neuroradiology
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Abstract

Introduction

Stable insertion of guide catheters via the femoral route can prove difficult because of tortuous vasculature leading to failure of endovascular treatment of intracranial aneurysms.

Methods and results

We report our experience using a long braided introducer sheath (6F Terumo Destination) with an inner diameter of 0.087 inches. It allowed the simultaneous use of multiple catheters or adjunctive techniques (balloon-assisted or stent-assisted coiling) while providing excellent support in 60 procedures involving coiling of anterior circulation aneurysms.

Conclusion

The use of a long introducer sheath, by enhancing stability in the aortic arch and supraaortic vessels, provides another solution to the problem of vascular tortuosity that hinders endovascular treatment of intracranial lesions.

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Acknowledgements

The authors are grateful to Mrs. Sylvie Deriaud for data collection.

Conflict of interest statement

We declare that we have no conflict of interest.

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Authors and Affiliations

  1. Service de Neuroradiologie France, Hôpital Henri Mondor, AP-HP, 94000, Créteil, France

    Raphaël Blanc, Frédéric Deschamps, Julita Orozco-Vasquez, Philippe Thomas & André Gaston

Authors
  1. Raphaël Blanc
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  2. Frédéric Deschamps
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  3. Julita Orozco-Vasquez
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  4. Philippe Thomas
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  5. André Gaston
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Corresponding author

Correspondence to Raphaël Blanc.

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Blanc, R., Deschamps, F., Orozco-Vasquez, J. et al. A 6F guide sheath for endovascular treatment of intracranial aneurysms. Neuroradiology 49, 563–566 (2007). https://doi.org/10.1007/s00234-007-0233-1

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  • DOI: https://doi.org/10.1007/s00234-007-0233-1

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