Modified technique for using vascular sheaths in carotid artery stent placement

M. H. Wholey, B. Toursarkissian, S. Bailey

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Purpose: To report a technical modification that will prevent sheath kinking in acutely angled vessels during carotid stent placement. Technique: If a long vascular sheath kinks when engaging an acutely angled common carotid or innominate artery, the sheath is pulled caudally approximately 2 cm while a 0.014-inch guidewire, supported by a coronary balloon catheter, is advanced toward the internal carotid artery (ICA). Alternatively, to avoid kinking, the original 0.035-inch super stiff wire is maintained within the sheath until the 0.014-inch wire and coronary balloon have exited the sheath's distal tip. Conclusions: If an aortic arch is tortuous and the angle of the common carotid artery is unfavorable, a guiding catheter is preferable to a long vascular sheath for accessing the ICA during carotid stent procedures.

Original languageEnglish (US)
Pages (from-to)576-578
Number of pages3
JournalJournal of Endovascular Therapy
Issue number6
StatePublished - Dec 1 2001


  • Aortic arch
  • Common carotid artery
  • Guiding catheter
  • Vascular sheath
  • Vessel tortuosity

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine


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