title: Transseptal approach for stent implantation in right internal carotid artery stenosis.
abstract: Carotid artery stenting is emerging as an effective measure to prevent strokes in patients with significant carotid artery stenosis. We report a case of right internal carotid artery stenosis in which we used a transseptal approach for successful carotid artery stenting. This patient had concomitant stenosis at all three coronary arteries, including the left main coronary artery. A transseptal approach was adopted due to the sharply angled take-off of the right brachiocephalic artery from the tortuous aortic arch, where advancement of an extra-stiff wire into the right common carotid artery was not possible by a femoral artery approach.
authors.affiliation: Cardiology Division, Yonsei Cardiovascular Center, Yonsei University College of Medicine, Shinchon-Dong 134, Seodaemun-Ku, CPO Box 8044, Seoul, Korea.
authors.forename: Y S
authors.initials: YS
authors.lastname: Yoon
authors.forename: W H
authors.initials: WH
authors.lastname: Shim
mesh_terms: D000368:Aged; D000792:Angiography; D015906:Angioplasty, Balloon, Coronary; D017073:Atherectomy / Q000295:instrumentation / Q000379:methods*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging*; D016893:Carotid Stenosis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015607:Stents; D016896:Treatment Outcome