Published in:
01-10-2007 | Interventional Neuroradiology
Bilateral brachial pull-through technique for stenting in a patient with stenosis of the vertebral artery origin: technical case report
Authors:
N. Kusaka, T. Tamiya, M. Nishiguchi, K. Takayama, T. Nishiura
Published in:
Neuroradiology
|
Issue 10/2007
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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.