title: Bilateral brachial pull-through technique for stenting in a patient with stenosis of the vertebral artery origin: technical case report.
abstract: Stenting for stenosis of the proximal vertebral artery (VA) is commonly performed via a femoral approach. However, iliofemoral occlusive disease such as arteriosclerosis obliterans sometimes prevents safe transfemoral access. In certain situations where both femoral access and ipsilateral brachial access are difficult because of a concomitant vascular diseases or particular anatomic setting, a contralateral brachial approach using the brachiobrachial pull-through technique may allow efficient and accurate stenting. A case of VA origin symptomatic stenosis successfully treated with stenting using the new pull-through technique from the contralateral brachial artery to the brachial artery on the affected side is described.
authors.affiliation: Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, 2-5-1 Kuroiso-cho, Iwakuni, Yamaguchi 740-8510, Japan. kusaka@iwakuni-nh.go.jp
authors.forename: N
authors.initials: N
authors.lastname: Kusaka
authors.forename: T
authors.initials: T
authors.lastname: Tamiya
authors.forename: M
authors.initials: M
authors.lastname: Nishiguchi
authors.forename: K
authors.initials: K
authors.lastname: Takayama
authors.forename: T
authors.initials: T
authors.lastname: Nishiura
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods*; D001916:Brachial Artery / Q000473:pathology; D002533:Cerebral Angiography; D006801:Humans; D007383:Intermittent Claudication / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D018810:Magnetic Resonance Angiography; D008297:Male; D015607:Stents; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000175:diagnosis / Q000628:therapy*