Related Experiment Video
Updated: Oct 4, 2025
08:08
Simulator Training for Endovascular Neurosurgery
Published on: May 6, 2020
3.8K
Direct carotid puncture for neuroendovascular procedures
Jennifer D Sokolowski1, Panagiotis Mastorakos2, Jacob Fisher2
1Department of Neurosurgery, University of Virginia, Charlottesville, VA, 22903, USA. soko@virginia.edu.
Acta Neurochirurgica
|February 9, 2022
Summary
Direct carotid puncture offers a viable alternative for neuroendovascular procedures when standard femoral or radial artery access is challenging due to complex anatomy. This technique enables critical intracranial access for treatments like stroke thrombectomy.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Radiology
Background:
- Standard neuroendovascular procedures typically utilize femoral (groin) or radial (wrist) artery access.
- Complex vascular anatomy or vessel tortuosity can impede achieving adequate intracranial access via these conventional routes.
- A case of stroke thrombectomy was complicated by the inability to gain intracranial access using standard approaches.
Purpose of the Study:
- To present direct carotid puncture as an alternative access strategy for neuroendovascular interventions.
- To address the limitations of traditional access routes in patients with challenging anatomy.
Main Methods:
- Direct puncture of the carotid artery was performed to gain access to the arterial circulation.
- This approach was employed to overcome difficulties in achieving intracranial access.
Main Results:
- Successful arterial access was achieved via direct carotid puncture.
- This facilitated the neuroendovascular procedure when standard methods failed.
Conclusions:
- Direct carotid puncture serves as a valuable alternative access route for neuroendovascular procedures.
- It is particularly useful when femoral or radial approaches are precluded by unfavorable vascular anatomy.
- This method can enable critical interventions in complex cases.
