@article{oai:kanazawa-u.repo.nii.ac.jp:00026914, author = {見崎, 孝一 and 内山, 尚之 and 毛利, 正直 and 福井, 一生 and 南部, 育 and 林, 裕 and 濱田, 潤一郎}, issue = {1}, journal = {Journal of Neuroendovascular Therapy = 脳神経血管内治療}, month = {Jan}, note = {【目的】左総頚動脈(CCA)狭窄症に対するステント留置術の際にガイディングシースの保持を右上腕動脈経由のGooseNeck Snareで行った症例を報告する.【症例】70歳,男性.一過性の右片麻痺で発見された症候性左CCA狭窄症に対してステント留置術を行った.狭窄病変とCCA起始部の距離が短いためガイディングシースを十分遠位まで挿入できなかった.そのため右上腕動脈経由のGooseNeck Snareでガイディングシースを保持してステント留置術を施行し得た.【結論】上腕動脈経由のGooseNeck Snareによる左CCAのガイディングシースの保持は有用であった.Objective: We report a case of left common carotid artery stenting in which the guide sheath was held in place by a GooseNeck Snare inserted from the right brachial artery. Case presentation: A 70-year-old man presented with transient right hemiparesis and symptomatic left common carotid artery stenosis. During carotid artery stenting, we were unable to insert the guide sheath into the distal site of the carotid artery because of the short distance between the origin of the carotid artery and the stenotic lesion. By holding the guide sheath in place using the GooseNeck Snare inserted from the right brachial artery, stenting was performed successfully. Conclusion: Transbrachial GooseNeck Snare was useful for stabilization of the guide sheath during left common carotid artery stenting.}, pages = {56--60}, title = {左総頚動脈ステント留置術におけるガイディングシース保持のためのGooseNeck Snareの使用}, volume = {6}, year = {2012} }