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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 27:1502-1504, August 2006
© 2006 American Society of Neuroradiology

Technical Note
INTERVENTIONAL

Direct Carotid Puncture for the Endovascular Treatment of Anterior Circulation Aneurysms

K. Nii^a, K. Kazekawa^a, M. Onizuka^a, H. Aikawa^a, M. Tsutsumi^a, M. Tomokiyo^a, M. Iko^a, T. Kodama^a, S. Matsubara^a, Y. Go^a and A. Tanaka^a

^a From the Department of Neurosurgery, Fukuoka University Chikushi Hospital, Chikushino, Japan

Please address correspondence to: Kiyoshi Kazekawa, MD, Department of Neurosurgery, Fukuoka University Chikushi Hospital, 377-one Ohaza-Zokumyoin, Chikushino City, Fukuoka, 818-8502, Japan; e-mail: Kazekawa{at}xb3.so-net.ne.jp

SUMMARY: We report the usefulness of Guglielmi detachable coil (GDC) embolization by direct carotid puncture for anterior circulation aneurysms. For all 27 patients, GDC embolization by direct carotid puncture was safely performed by using a 5F sheath introducer 5 cm long and a Tracker-38 catheter. Neurologic deficits and hemorrhage were not found in any patient during the follow-up period. If the transfemoral approach cannot be applied, GDC embolization should be considered as an alternative method.