title: Carotid stenting through the right brachial approach for left internal carotid artery stenosis and bovine aortic arch configuration.
abstract: Unfavorable complex anatomy or congenital anomalies of supra-aortic vessel take-off may increase carotid artery stenting (CAS) procedural difficulties and complications through the femoral route. We assessed the feasibility, safety, and efficacy of CAS through the right brachial approach in patients in whom left internal carotid artery stenosis and bovine aortic arch configuration were identified with computed tomography (CT) angiography. Bovine configuration of the aortic arch and left carotid artery stenosis were easily identified by CT angiography and successfully treated through the right brachial approach technique.
authors.affiliation: Centro Cardiologico Monzino, IRCCS, Institute of Cardiology University of Milan, Via Parea, 4, 20138, Milan, Italy. piero.montorsi@unimi.it
authors.forename: Piero
authors.initials: P
authors.lastname: Montorsi
authors.forename: Stefano
authors.initials: S
authors.lastname: Galli
authors.forename: Paolo
authors.initials: P
authors.lastname: Ravagnani
authors.forename: Sarah
authors.initials: S
authors.lastname: Ghulam Ali
authors.forename: Daniela
authors.initials: D
authors.lastname: Trabattoni
authors.forename: Franco
authors.initials: F
authors.lastname: Fabbiocchi
authors.forename: Alessandro
authors.initials: A
authors.lastname: Lualdi
authors.forename: Giovanni
authors.initials: G
authors.lastname: Ballerini
authors.forename: Daniele
authors.initials: D
authors.lastname: Andreini
authors.forename: Gianluca
authors.initials: G
authors.lastname: Pontone
authors.forename: Andrea
authors.initials: A
authors.lastname: Annoni
authors.forename: Antonio L
authors.initials: AL
authors.lastname: Bartorelli
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D001807:Blood Vessel Prosthesis; D001916:Brachial Artery / Q000000981:diagnostic imaging*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D002417:Cattle; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation / Q000379:methods*; D015641:Radiography, Interventional / Q000379:methods*; D015607:Stents; D016896:Treatment Outcome