{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T14:02:59Z","timestamp":1777730579075,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T00:00:00Z","timestamp":1591315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>It is often hard to navigate a 9 French (F) balloon guiding catheter in patients with type III or bovine aortic arch. Also, a common carotid artery stenosis is challenging, because a guidewire cannot be advanced distally. We developed the combination of a 4F Simmons-type catheter and a 6F distal access catheter as a coaxial inner catheter to navigate a 9F balloon guiding catheter to overcome these difficulties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>Medical record at our institution was retrospectively reviewed and carotid artery stenting cases in which the 4F Simmons-6F distal access catheter system was employed as a coaxial catheter to navigate a 9F balloon guiding catheter were identified. To construct this system, a 4F 145\u00a0cm SY3 (Hanako Medical, Saitama, Japan) and a 6F 118\u00a0cm Cerulean DD6 (Medikit Co. Ltd., Tokyo, Japan) were usually employed. A rotating hemostatic valve should be as short as possible and was attached to only a 9F balloon guiding catheter. The length of a 0.035-in. guidewire needed to be 180\u00a0cm or longer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the study period, 106 carotid artery stenting cases were identified. Of these, this system was employed in 29 cases that included 5 cases with a steno-occlusive lesion at common carotid artery\/external carotid artery, 10 with type III or bovine arch, and 11 harboring both. In all the cases, a 9F balloon guiding catheter was successfully navigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The 4F Simmons-6F distal access catheter system was useful in navigating a 9F balloon guiding catheter in patients with a common carotid artery stenosis, an external carotid artery occlusion, and an in-stent restenosis, especially when they also harbored type III or bovine aortic arch.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1591019920930169","type":"journal-article","created":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T08:56:39Z","timestamp":1591347399000},"page":"719-724","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Novel triple coaxial system to navigate 9\u00a0French balloon guiding catheter into common carotid artery"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2144-0297","authenticated-orcid":false,"given":"Ryuta","family":"Yasuda","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Mie University Graduate School of Medicine, Mie, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Toma","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Mie University Graduate School of Medicine, Mie, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yume","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Mie University Graduate School of Medicine, Mie, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoichi","family":"Miura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Mie University Graduate School of Medicine, Mie, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Shiba","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Mie University Graduate School of Medicine, Mie, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidenori","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Mie University Graduate School of Medicine, Mie, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,6,5]]},"reference":[{"key":"bibr1-1591019920930169","doi-asserted-by":"publisher","DOI":"10.5797\/jnet.oa.2016-0072"},{"key":"bibr2-1591019920930169","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.12.059"},{"key":"bibr3-1591019920930169","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.08.014"},{"key":"bibr4-1591019920930169","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25947"},{"key":"bibr5-1591019920930169","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.109.547117"},{"key":"bibr6-1591019920930169","author":"Hanaoka Y","journal-title":"J Neuroendovasc Ther"},{"key":"bibr7-1591019920930169","first-page":"561","volume":"44","author":"Ohshima T","year":"2016","journal-title":"No Shinkei Geka"},{"key":"bibr8-1591019920930169","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A5095"},{"key":"bibr9-1591019920930169","doi-asserted-by":"publisher","DOI":"10.1016\/j.tranon.2019.05.001"},{"key":"bibr10-1591019920930169","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2016.07.003"},{"key":"bibr11-1591019920930169","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26218"},{"key":"bibr12-1591019920930169","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-014-1421-4"},{"key":"bibr13-1591019920930169","doi-asserted-by":"publisher","DOI":"10.5469\/neuroint.2017.12.2.83"},{"key":"bibr14-1591019920930169","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2015150575"}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1591019920930169","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1591019920930169","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1591019920930169","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:58:59Z","timestamp":1777460339000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1591019920930169"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,5]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1177\/1591019920930169"],"URL":"https:\/\/doi.org\/10.1177\/1591019920930169","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,5]]}}}