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Intraoperative Support Using a Virtual Fluoroscopic Image in Thrombosis Recovery Treatment
OBJECTIVE: It is often difficult and has a potential risk of vessel injury to navigate a catheter or a microcatheter through the difficult types of aortic arches and through an occluded segment of the intracranial arteries under fluoroscopic guidance alone. Herein, we demonstrate a supportive techni...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Society for Neuroendovascular Therapy
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370820/ https://www.ncbi.nlm.nih.gov/pubmed/37502206 http://dx.doi.org/10.5797/jnet.tn.2021-0094 |
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author | Kikuchi, Hiroyuki Sato, Yuta Ogata, Kenichi Kimura, Syohei |
author_facet | Kikuchi, Hiroyuki Sato, Yuta Ogata, Kenichi Kimura, Syohei |
author_sort | Kikuchi, Hiroyuki |
collection | PubMed |
description | OBJECTIVE: It is often difficult and has a potential risk of vessel injury to navigate a catheter or a microcatheter through the difficult types of aortic arches and through an occluded segment of the intracranial arteries under fluoroscopic guidance alone. Herein, we demonstrate a supportive technique of virtual fluoroscopic imaging from a data of non-contrast CT for a case of thrombectomy for acute occlusion of the right middle cerebral artery (MCA). CASE PRESENTATION: An 85-year-old woman was transferred to our hospital with complaints of left-sided paralysis, dysarthria, and aphasia. CT revealed a hyperdense MCA sign, suggesting acute right MCA occlusion. CT showed bovine type of aortic arch too. Subsequently, mechanical thrombectomy was performed with the right brachial approach. A guiding catheter and a microcatheter system were successfully navigated into the target lesion under virtual fluoroscopic imaging guidance, and then thrombolysis in cerebral infarction (TICI) 3 recanalization was obtained in puncture-to-recanalization time of 37 minutes. CONCLUSION: Virtual fluoroscopic images helped us to perform thrombectomy in a case of acute MCA occlusion, which provided anatomical information on the artery distal to the occlusion site, and were useful in determining the direction of the wire guidance. |
format | Online Article Text |
id | pubmed-10370820 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Japanese Society for Neuroendovascular Therapy |
record_format | MEDLINE/PubMed |
spelling | pubmed-103708202023-07-27 Intraoperative Support Using a Virtual Fluoroscopic Image in Thrombosis Recovery Treatment Kikuchi, Hiroyuki Sato, Yuta Ogata, Kenichi Kimura, Syohei J Neuroendovasc Ther Technical Note OBJECTIVE: It is often difficult and has a potential risk of vessel injury to navigate a catheter or a microcatheter through the difficult types of aortic arches and through an occluded segment of the intracranial arteries under fluoroscopic guidance alone. Herein, we demonstrate a supportive technique of virtual fluoroscopic imaging from a data of non-contrast CT for a case of thrombectomy for acute occlusion of the right middle cerebral artery (MCA). CASE PRESENTATION: An 85-year-old woman was transferred to our hospital with complaints of left-sided paralysis, dysarthria, and aphasia. CT revealed a hyperdense MCA sign, suggesting acute right MCA occlusion. CT showed bovine type of aortic arch too. Subsequently, mechanical thrombectomy was performed with the right brachial approach. A guiding catheter and a microcatheter system were successfully navigated into the target lesion under virtual fluoroscopic imaging guidance, and then thrombolysis in cerebral infarction (TICI) 3 recanalization was obtained in puncture-to-recanalization time of 37 minutes. CONCLUSION: Virtual fluoroscopic images helped us to perform thrombectomy in a case of acute MCA occlusion, which provided anatomical information on the artery distal to the occlusion site, and were useful in determining the direction of the wire guidance. The Japanese Society for Neuroendovascular Therapy 2022-07-15 2022 /pmc/articles/PMC10370820/ /pubmed/37502206 http://dx.doi.org/10.5797/jnet.tn.2021-0094 Text en ©2022 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Technical Note Kikuchi, Hiroyuki Sato, Yuta Ogata, Kenichi Kimura, Syohei Intraoperative Support Using a Virtual Fluoroscopic Image in Thrombosis Recovery Treatment |
title | Intraoperative Support Using a Virtual Fluoroscopic Image in Thrombosis Recovery Treatment |
title_full | Intraoperative Support Using a Virtual Fluoroscopic Image in Thrombosis Recovery Treatment |
title_fullStr | Intraoperative Support Using a Virtual Fluoroscopic Image in Thrombosis Recovery Treatment |
title_full_unstemmed | Intraoperative Support Using a Virtual Fluoroscopic Image in Thrombosis Recovery Treatment |
title_short | Intraoperative Support Using a Virtual Fluoroscopic Image in Thrombosis Recovery Treatment |
title_sort | intraoperative support using a virtual fluoroscopic image in thrombosis recovery treatment |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370820/ https://www.ncbi.nlm.nih.gov/pubmed/37502206 http://dx.doi.org/10.5797/jnet.tn.2021-0094 |
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