Carotid stenting through the right brachial approach for left internal carotid artery stenosis and bovine aortic arch configuration.
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.
Montorsi
Piero
P
Centro Cardiologico Monzino, IRCCS, Institute of Cardiology University of Milan, Via Parea, 4, 20138, Milan, Italy. piero.montorsi@unimi.it
Galli
Stefano
S
Ravagnani
Paolo
P
Ghulam Ali
Sarah
S
Trabattoni
Daniela
D
Fabbiocchi
Franco
F
Lualdi
Alessandro
A
Ballerini
Giovanni
G
Andreini
Daniele
D
Pontone
Gianluca
G
Annoni
Andrea
A
Bartorelli
Antonio L
AL
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