Usefulness of the GooseNeck Snare for inducing and holding the Guiding Catheter from the brachial artery in the Neuroendovascular Treatment: technical note

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  • 上腕動脈からのガイディングカテーテルの誘導，保持を目的としたＧｏｏｓｅＮｅｃｋ　Ｓｎａｒｅの使用
  • ジョウ ワンドウミャク カラ ノ ガイディングカテーテル ノ ユウドウ ホジ オ モクテキ ト シタ GooseNeck Snare ノ シヨウ

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Objective: To report new technique to stabilize a guiding catheter, which was introduced from brachial artery by use of a GooseNeck Snare from contralateral brachial artery.<br>Case presentation: A 76yearold man presented with unruptured left internal carotid artery aneurysm with a type III aortic arch. The guiding catheter was successfully navigated from the right brachial artery to the left common carotid artery using the GooseNeck Snare inserted from the left brachial artery. The aneurysm was successfully treated with coil embolization.<br>Conclusion: The use of GooseNeck Snare is considered to be effective for inducing and holding a guiding catheter. Gentle and synchronized manipulation by two operators was required to succeed with this technique.

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