In spite of potential complications, direct carotid puncture in acute ischaemic stroke intervention overcomes challenging angioarchitecture and may reduce the rate of poor clinical outcomes associated with delayed revascularisation in certain cases. Keywords: brain, embolic, plaque, stroke, thrombectomy.

Direct carotid puncture (DCP) may provide an elegant solution to quickly establish vascular access and provide a stable platform for subsequent MTE. In fact, DCP was the initial standard access route in cerebral angiography before being supplanted by transfemoral, transbrachial, and more recently also transradial approaches as catheter ...

2024年9月28日 · Carotid artery stenting (CAS) has been established as an effective surgical treatment for internal carotid artery stenosis and/or common carotid artery stenosis (ICAS/CCAS). Typically, CAS is performed via a transfemoral, transbrachial, or transradial approach. However, direct puncture CAS (DP-CAS) …

2020年10月24日 · Direct common carotid artery puncture is a feasible alternative method of access for rapid intervention of acute embolic stroke in individuals with tortuous or otherwise difficult-to-navigate aortic arch anatomy.

2022年2月9日 · Direct carotid puncture is an alternative access route for neuroendovascular procedures when intracranial access is not achievable by femoral or radial approaches due to unfavorable vascular anatomy. Classically, access for neuroendovascular procedures is facilitated via groin or wrist puncture, entering the femoral or radial artery, respectively.

Direct carotid artery puncture is a feasible alternative to transfemoral artery access in cases of stroke with difficult anatomy, including unfavorable arch type, carotid tortuosity, or an ostial lesion.

Background Challenging anatomy for carotid artery access can result in a delay to achieve successful recanalization in patients with acute ischemic stroke. Our objective was to study emergent direct percutaneous carotid artery puncture as an alternative access approach for acute endovascular stroke interventions.

In fact, direct carotid artery puncture in these cases has the advantage to bypass the anatomical obstacles and achieve faster reperfusion. Caution is advised when common carotid artery access is pursued in order to avoid adverse events, including haematoma formation, iatrogenic arterial dissection and sheath kinking.

2020年8月15日 · To describe our single-center experience of mechanical thrombectomy (MTE) via a direct carotid puncture (DCP) with regard to indication, time metrics, procedural details, as well as safety and efficacy aspects.

2020年3月29日 · Direct access of the left carotid artery was the only option to perform mechanical thrombectomy, and puncture was performed proximal to the carotid bulb for the complex angioarchitecture. At the end of the procedure, they obtained a TICI 3 revascularisation, and a limited dissection of the proximal ICA occurred but was managed conservatively ...