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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 27:1710-1711, September 2006
© 2006 American Society of Neuroradiology

Technical Note
INTERVENTIONAL

Carotid-compression Technique for the Insertion of Guiding Catheters

S. Yoshimura^a, Y. Enomoto^a, H. Kitajima^a, J. Yamada^a, Y. Kaku^b and T. Iwama^a

^a Department of Neurosurgery, Graduate School of Medicine, Division of Neuroscience, Gifu University
Asahi, Japan
^b Department of Neurosurgery, Murakami Memorial Hospital, Asahi University, Asahi, Japan

Address correspondence to Shinichi Yoshimura, MD, PhD, Department of Neurosurgery, Graduate School of Medicine, Division of Neuroscience, Gifu University, 1-1 Yanagido, Gifu City, Gifu 501-1194, Japan; e-mail: s-yoshi{at}cc.gifu-u.ac.jp

SUMMARY: Inserting a guiding catheter into a tortuous artery for neurointerventional procedures can be difficult. In our technique, the carotid artery is manually compressed to stabilize and/or straighten the inserted wire before advancing the guiding catheter. Although this technique is not risk-free and care must be taken to avoid vascular injury by excessive compression, it is useful for the insertion of a guiding catheter into the carotid artery.