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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 24:275-278, February 2003
© 2003 American Society of Neuroradiology

Technical Note
INTERVENTIONAL

Stiff Guide Technique: Technical Report and Illustrative Case

Donald A. Eckard^a, Kyle A. Krehbiel^a, Philip L. Johnson^a, Timothy G. Raveill^a and Valerie R. Eckard^a

^a From the Department of Radiology, University of Kansas Medical Center, Kansas City, KS

Address reprint requests to Donald A. Eckard, MD, Department of Radiology, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160

Summary: Endovascular techniques are gaining wider acceptance in the treatment of intracranial lesions. Tortuous vasculature is a common reason for failure to treat an intracranial lesion, especially when balloon catheters or stents are used. In these cases, the guiding catheter often buckles into the aorta during an attempt to place the balloon or stent. In our experience, a stiff wire can be used to support the guiding catheter, allowing the balloon catheter or stent to more readily navigate tortuous vessels.

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