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The gently pull-back technique for neck bypass in treatment of wide-necked internal carotid artery aneurysms: A report of three cases and review of the literature

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dc.contributor.authorKacar, Emre
dc.contributor.authorNas, Omer F.
dc.contributor.authorKaya, AHMET
dc.contributor.authorErdogan, Cuneyt
dc.contributor.authorKocaeli, Hasan
dc.contributor.authorHakyemez, Bahattin
dc.contributor.institutionauthorKAYA, AHMET
dc.date.accessioned2020-10-22T20:19:34Z
dc.date.available2020-10-22T20:19:34Z
dc.date.issued2015-12-01T00:00:00Z
dc.description.abstractNeck bypass failure in endovascular treatment of wide-necked internal carotid artery (ICA) aneurysms may adversely affect the technical success of the procedure. We used the gently pull-back technique to bypass the aneurysm neck and access the distal parent artery during endovascular treatment in patients with wide-necked ICA aneurysms. In this technique, a loop was made in the aneurysm and the distal parent artery was reached by using a small diameter microguidewire and a microcatheter. After providing reliable distal access, the microguidewire was removed and the whole system which consists of the microcatheter was gently pulled back. Finally the microcatheter was straightened and the aneurysm neck was passed. After crossing the aneurysm neck, a flow-diverting stent treatment and stent-assisted coiling were performed in three cases with wide-necked ICA aneurysm. The gently pull-back technique is a simple and effective method which requires no extra intravascular device and helps to bypass the aneurysm neck through a small diameter microguidewire and a microcatheter. This technique may be useful for neck aneurysm bypass in endovascular treatment of wide-necked ICA aneurysms.
dc.identifier.citationKacar E., Nas O. F. , Kaya A., Erdogan C., Kocaeli H., Hakyemez B., -The gently pull-back technique for neck bypass in treatment of wide-necked internal carotid artery aneurysms: A report of three cases and review of the literature-, NEURORADIOLOGY JOURNAL, cilt.28, ss.604-608, 2015
dc.identifier.doi10.1177/1971400915612245
dc.identifier.scopus84947727811
dc.identifier.urihttp://hdl.handle.net/20.500.12645/24659
dc.identifier.wosWOS:000365425400010
dc.titleThe gently pull-back technique for neck bypass in treatment of wide-necked internal carotid artery aneurysms: A report of three cases and review of the literature
dc.typeArticle
dspace.entity.typePublication
local.avesis.idd6be925c-af05-465f-975d-179a140a85a9
local.publication.isinternational1
relation.isAuthorOfPublicationa2fe045d-ec69-4892-8c85-8eb58fb5e5fb
relation.isAuthorOfPublication.latestForDiscoverya2fe045d-ec69-4892-8c85-8eb58fb5e5fb
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