Transseptal approach for stent implantation in right internal carotid artery stenosis.
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.
Yoon
Y S
YS
Cardiology Division, Yonsei Cardiovascular Center, Yonsei University College of Medicine, Shinchon-Dong 134, Seodaemun-Ku, CPO Box 8044, Seoul, Korea.
Shim
W H
WH
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