Carotid stenting through the right brachial approach for left internal carotid artery stenosis and bovine aortic arch configuration

2009 ◽  
Vol 19 (8) ◽  
pp. 2009-2015 ◽  
Author(s):  
Piero Montorsi ◽  
Stefano Galli ◽  
Paolo Ravagnani ◽  
Sarah Ghulam Ali ◽  
Daniela Trabattoni ◽  
...  
2003 ◽  
Vol 9 (1_suppl) ◽  
pp. 143-148 ◽  
Author(s):  
H. Fukuda ◽  
K. Iihara ◽  
N. Sakai ◽  
K. Murao ◽  
H. Sakai ◽  
...  

The purpose of this study was to evaluate the efficacy and safety of staged carotid stenting (CS) and carotid endarterectomy (CEA) for bilateral internal carotid artery stenosis. With this strategy, initial carotid stenting was performed for the high grade carotid stenosis to reduce the risk of subsequent CEA. Eight patients were treated with staged CS and CEA; CS for asymptomatic side followed by CEA for symptomatic side. Sufficient revascularization was obtained in all procedures but one CS procedure. Two minor stroke caused by distal embolism occurred during the perioperative period of CS. Postprocedural persistent hypotension was observed in one CS procedure. The mean interval between CS and CEA was 19.8 days. In conclusion, although our strategy has some advantages such as avoidance of bilateral cranial nerve palsy and shorter admission period over staged CEA, relatively high complication rate was noted at the first CS without any stroke morbidity post CEA. Our preliminary result showed that further reduction of periprocedural complication rate at the initial stenting is mandatory for this approach justified.


1999 ◽  
Vol 16 (7) ◽  
pp. 671-672 ◽  
Author(s):  
NAVIN C. NANDA ◽  
CAMILO R. GOMEZ ◽  
VIRENJAN KUMAR NARAYAN ◽  
SRINATH KADIMI ◽  
JOHN B. TERRY ◽  
...  

2012 ◽  
Vol 19 (3) ◽  
pp. 329-338 ◽  
Author(s):  
Giorgio Ventoruzzo ◽  
Giuseppe Biondi-Zoccai ◽  
Filippo Maioli ◽  
Francesco Liistro ◽  
Leonardo Bolognese ◽  
...  

2021 ◽  
Vol 9 (37) ◽  
pp. 74-77
Author(s):  
Nitish Mittal ◽  
Sanjana Rao ◽  
Mohammad M. Ansari

Carotid Artery Occlusive Disease or Carotid Artery Stenosis (CAS), a widely prevalent disease, involves blockage of the arterial wall through atherosclerotic plaques. Due to the high prevalence of carotid artery stenosis, innovative approaches to improve the outcome are required, particularly for more difficult and unique cases. Within this report, we present a particularly difficult case of Type III Aortic Arch – Right Internal Carotid Artery (ICA) stenosis making it a challenging case. We describe a symptomatic 87-year-old male who presented to Cardiology clinic. CT angiogram showed 70% occlusion of right internal carotid artery and patient was deemed high risk for carotid artery surgery; hence, the patient underwent internal carotid artery stenting. After the procedure, angiogram results were excellent, and the patient was transferred to CICU in stable hemodynamic condition. This case demonstrates the significance of innovative new techniques in the development of medical treatment.  Keywords: Carotid Artery Stenting, Curve Sheath Technique, Type 3 Aortic Arch, Right Internal Carotid Artery Stenosis


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