Neuroendovascular Micro-Guide Wire Ramrod Technique for Salvaging Occluded Ventriculostomy Catheters: Technical Note

2016 ◽  
Vol 77 (S 01) ◽  
Author(s):  
Bohdan Chopko
Keyword(s):  
Author(s):  
Babak Babakhani ◽  
Mohammad Moharrami ◽  
Amir Jalal Abbasi

This technical note aims to introduce a new approach for intubation of patients with restricted mouth opening in cases that conventional and fiberoptic-assisted endotracheal intubation are not possible. The proposed technique is a modification to the previously well-established retrograde intubation method. The main advantage of this new technique is the employment of fiberscope for direct visualization which eliminates the use of guide wire. The endotracheal tube enters through the nostril and is railroaded using the fiberscope as a guide. Using this new technique can prevent the complications of tracheostomy and the traditional retrograde intubation in patients that anterograde intubation is not feasible. The promising result of conducting the intubation with this approach can be considered the basis for future clinical investigation.


2017 ◽  
Vol 137 (9) ◽  
pp. 1219-1222
Author(s):  
Jiang Li ◽  
Liao Wang ◽  
Xiaodong Li ◽  
Kai Feng ◽  
Jian Tang ◽  
...  

1990 ◽  
Vol 15 (1) ◽  
pp. 64-65
Author(s):  
David M. Markowitz ◽  
Donald F. Denny

2019 ◽  
Vol 26 (1) ◽  
pp. 10-18
Author(s):  
Christian N Ramsey ◽  
Charles B Newman ◽  
Michael R Jones ◽  
Anona Archer ◽  
Curtis A Given

Background Emergent large vessel occlusive (ELVO) stroke secondary to underlying carotid occlusive disease is frequently encountered in endovascular ischemic stroke therapy and trials. Up to 29% of all cerebral vascular accidents are attributed to severe carotid occlusive disease, and recent interventional trials have demonstrated this occurrence in 18.6–32.2% of ELVO stroke. We present a novel technique using the stent retriever guide wire to expedite angioplasty and/or stent placement for associated carotid occlusive disease during mechanical thrombectomy of ELVO stroke. This technique utilizes the “waiting time” during stent retriever integration within the thrombus as an opportunity to initiate revascularization of the cervical carotid, using the deployed stent retriever guidewire as an ad hoc rapid exchange wire while the stentriever serves as a potential surrogate distal embolic protection device. We present 23 cases using this novel endovascular approach, which we have called the single-cross technique, as the cervical lesion is only traversed once during therapy. Methods A case series of 23 consecutive patients who underwent a novel endovascular technique for treating tandem ICA origin and intracranial occlusive lesions is presented. Endpoints measured were time to re-perfusion, rates of intracranial hemorrhage and clinical outcomes (mRS at 30 and 90 days). Results Average procedure time for revascularizing both the carotid and intracranial lesions was 52 min. A symptomatic ICH rate of 9% was observed. Seventy-four percent of patients had an mRS of 0–2 at follow-up. Conclusions The single-cross technique appears to be a safe and effective option for treating tandem occlusive lesions in the setting of ELVO.


2012 ◽  
Vol 21 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Susan Fager ◽  
Tom Jakobs ◽  
David Beukelman ◽  
Tricia Ternus ◽  
Haylee Schley

Abstract This article summarizes the design and evaluation of a new augmentative and alternative communication (AAC) interface strategy for people with complex communication needs and severe physical limitations. This strategy combines typing, gesture recognition, and word prediction to input text into AAC software using touchscreen or head movement tracking access methods. Eight individuals with movement limitations due to spinal cord injury, amyotrophic lateral sclerosis, polio, and Guillain Barre syndrome participated in the evaluation of the prototype technology using a head-tracking device. Fourteen typical individuals participated in the evaluation of the prototype using a touchscreen.


1998 ◽  
Vol 47 (3) ◽  
pp. 153-160
Author(s):  
Wang ◽  
Park ◽  
Kang ◽  
Oh
Keyword(s):  

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