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Japanese

Newly Developed Blocking Balloon Catheter for PTA of Internal Carotid Artery Tomoaki TERADA 1 , Hideyuki YOKOTE 1 , Yoshinari NAKAMURA 1 , Mitsuharu TSUURA 1 , Kunio NAKAI 1 , Takashi NISHIGUCHI 1 , Toru ITAKURA 1 , Seiji HAYASHI 1 , Norihiko KOMAI 1 , Genhachi HYOTANI 2 , Katsumi ITATAN 3 1Department of Neurological Surgery, Wakayama Medical College 2Hibi Memorial Hospital 3Koyo Hospital Keyword: Blocking balloon catheter , Internal carotid artery , Percutaneous transluminal angioplasty pp.891-895
Published Date 1993/10/10
DOI https://doi.org/10.11477/mf.1436900718
  • Abstract
  • Look Inside

We have developed a new blocking balloon system for percutaneous transluminal angioplasty (PTA) of the internal carotid artery (ICA). A latex balloon (BALT) is attached on the top of a Superselector infusion-type catheter (TORAY) which is used as a blocking balloon catheter. It can be navigated into the distal part of the ICA under torque control as well as flow control by withdrawing the core wire. Our PTA procedure is as follows, 1) insert the sheath catheter 8-9 F in size, 2) in-sert the PTA balloon catheter (Accent balloon, Cook) with a blocking balloon catheter through the sheath catheter, 3) navigate the blocking balloon into the distal part of the ICA, 4) introduce the PTA balloon to the stenotic portion after occlusion of the distal ICA by the blocking balloon, 5) PTA, 6) wash the lumen of the ICA with saline, 7) deflate the blocking balloon and withdraw the system.

We performed PTA for 5 ICA lesions in 4 cases and got successful dilatations for all of them without com-plications.

Our blocking balloon system is useful for performing the PTA of the ICA safely.


Copyright © 1993, Igaku-Shoin Ltd. All rights reserved.

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

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