title: [A case of carotid stenting via the transbrachial approach in the bovine arch].
abstract: We report our experience in carotid stenting via the transbrachial approach in patients with anomalous origin of the left common carotid artery, the so-called bovine arch, in which both the right common carotid artery and the left common carotid artery arise from the brachiocephalic artery. Via percutaneous access to the right brachial artery, a 6Fr Shuttle sheath is advanced into the aortic arch to cannulate the left common carotid artery. A Guardwire distal-protection balloon is positioned within the left internal carotid artery distal to the stenosis. The lesion is dilated, followed by satisfactory deployment and dilation of a 6Fr Precise stent. Carotid stenting via the brachial artery in bovine arch appears feasible as an alternative to standard femoral access.
authors.affiliation: Department of Neurosurgery, Mihara Memorial Hospital, Ohtamachi 366, Isesaki, Gunma 372-0006, Japan. akaji@alpha-net.ne.jp
authors.forename: Kazunori
authors.initials: K
authors.lastname: Akaji
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Tanizaki
authors.forename: Kenji
authors.initials: K
authors.lastname: Hiraga
authors.forename: Takenori
authors.initials: T
authors.lastname: Akiyama
authors.forename: Tomohisa
authors.initials: T
authors.lastname: Dembo
mesh_terms: D000368:Aged; D001241:Aspirin / Q000008:administration & dosage; D001916:Brachial Artery; D017536:Carotid Artery, Common / Q000002:abnormalities*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000628:therapy*; D002404:Catheterization; D000077407:Cilostazol; D006801:Humans; D008297:Male; D011859:Radiography; D015607:Stents; D013777:Tetrazoles / Q000008:administration & dosage; D014665:Vasodilator Agents / Q000008:administration & dosage
chemical_list: D013777:Tetrazoles; D014665:Vasodilator Agents; D000077407:Cilostazol; D001241:Aspirin