METHOD transvenous transseptal ACCESS artery HEAD AND NECK

摘要

1. A method for transvenous transseptal access to the arteries of the head and neck, the installation comprising: holding and guiding catheter into the main artery, characterized in that to provide access to the aortic arch and its branches femoral vein puncture is performed, is set 8F - 90 cm introdyusser, it is carried out by the inferior vena cava to the right atrium of the heart, then under the control of the transesophageal ultrasound perform atrial septal puncture and introdyusser advanced into the left atrium, then the hydrophilic wire 0.35 "guide-catheters 6F, 7F or 8F are performed sequentially in the left ventricle and the ascending aorta to the aortic arch, followed by catheterization of the carotid or vertebral arteries, depending on the location and side lesion and after installation guiding catheter into a stable position by manipulation of the neck and cerebral arteries .2. transvenous transseptal access method according to claim 1, characterized in that in the presence of PFO in the atrial septum introducer sheath is performed in the left atrium through substantially yuschy septum defect.