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A Case of Giant Cerebral Aneurysm Treated with Multiple Sheaths Directly Punctured into the Carotid Artery Kenichiro MURAOKA 1 , Nobuyuki HIROTSUNE 1 , Yasuhito KEGOYA 1 , Yuta SOTOME 1 , Yuki MATSUDA 1 , Yu SATO 1 , Naoya KIDANI 1 , Shigeki NISHINO 1 1Department of Neurosurgery and Neuroendovascular Surgery, Hiroshima City Hiroshima Citizens Hospital Keyword: direct puncture , common carotid artery , cerebral aneurysm , flow diverter stent , coil embolization pp.1029-1033
Published Date 2020/11/10
DOI https://doi.org/10.11477/mf.1436204316
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 When it is difficult to approach the brachial or femoral artery during endovascular surgery, an alternative approach is the direct puncture of the carotid artery. In this case of a giant cerebral aneurysm, we punctured the carotid artery directly and performed flow diverter stent placement and endosaccular coil embolization. Although the procedure required two thick access routes, it was performed after administering two antiplatelet drugs and an anticoagulant in order to achieve reliable hemostasis of the puncture sites after the operation. Direct common carotid artery puncture through a cervical skin incision is useful, because it ensures multiple access routes safely and provides secure hemostasis of the puncture sites.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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