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首页> 外文期刊>Neurosurgical focus >Initial experience with a multiple parallel guidewire support system for complex tortuous aortic arch navigation and great vessel catheterization: technical note
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Initial experience with a multiple parallel guidewire support system for complex tortuous aortic arch navigation and great vessel catheterization: technical note

机译:使用多条平行导丝支撑系统进行复杂曲折主动脉弓导航和大血管插管的初步经验:技术说明

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The ability to traverse an anatomically challenging and complex arch is paramount to the success of any neuroendovascular procedure. With age, the aortic arch becomes elongated, calcified, and less compliant. The authors present the initial experience with a multiple parallel guidewire system (ZigiWire Mode 3) for catheterization through a complex tortuous aortic arch to access extracranial vessels. The ZigiWire is an organized guidewire system that uses consecutive delivery of 3 small-diameter (0.014-inch) guidewires that are progressively advanced in parallel to secure support-wire access. The authors have found it useful in situations in which traditional methods for great-vessel access have failed. Moreover, the progressive construction of a large wire from smaller wires prevents “kickback” force from a single larger guidewire, allowing stable distal access. The authors have been able to advance different diagnostic and guide catheters over the ZigiWire. This guidewire has allowed them to successfully complete neuroendovascular procedures in patients who were previously considered unsuitable for the procedure because of tortuous vascular access.
机译:穿越解剖学上具有挑战性的复杂牙弓的能力对于任何神经内血管手术的成功都是至关重要的。随着年龄的增长,主动脉弓变得细长,钙化且顺应性降低。作者介绍了使用多根平行导丝系统(ZigiWire模式3)通过复杂的曲折主动脉弓导管进入颅外血管的初步经验。 ZigiWire是一种有组织的导丝系统,它连续使用3根小直径(0.014英寸)导丝,这些导丝逐渐平行前进以确保支撑线的安全进入。作者发现,在传统的大血管通路方法失败的情况下,它很有用。此外,由较小的线材逐渐形成的较大的线材可防止来自单个较大的导线的“反冲”力,从而实现稳定的远端入路。作者已经能够通过ZigiWire推进不同的诊断和引导导管。该导丝使他们能够成功地完成了以前因血管曲折而不适合该手术的患者的神经内血管手术。

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