How I do it: cervical access for carotid artery stenting.
Atypical aortic arch anatomy, vessel tortuosity, and extensive atherosclerotic disease in the aortic arch and great vessels represent significant risks for embolization during angioplasty and stenting of carotid occlusive lesions. The technique of cervical access to the proximal common carotid artery is demonstrated as a safer means for dealing with these problems. Combining endovascular and open surgical techniques can simplify and help ensure the safety of carotid stent procedures.
Feldtman
Robert W
RW
Division of Vascular Surgery, Scott and White Clinic, 2401 S. 31st St., Temple, TX 76508, USA. rfeldtman@swmail.sw.org <rfeldtman@swmail.sw.org>
Buckley
Clifford J
CJ
Bohannon
W Todd
WT
D017130:Angioplasty / Q000009:adverse effects / Q000379:methods*; D002339:Carotid Arteries; D016893:Carotid Stenosis / Q000628:therapy*; D004617:Embolism / Q000209:etiology / Q000517:prevention & control; D016894:Endarterectomy, Carotid; D006801:Humans; D009333:Neck; D015607:Stents