Skip to main content
Top
Published in: Neuroradiology 10/2007

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

Login to get access

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.
Literature
1.
go back to reference Harada K, Nakahara I, Tanaka M et al (2004) Therapeutic strategy and outcome of stenting for subclavian and innominate artery occlusive disease (in Japanese with English abstract). No Shinkei Geka 32:151–158PubMed Harada K, Nakahara I, Tanaka M et al (2004) Therapeutic strategy and outcome of stenting for subclavian and innominate artery occlusive disease (in Japanese with English abstract). No Shinkei Geka 32:151–158PubMed
2.
go back to reference Gaines PA, Cumberland DC (1988) Wire-loop technique for angioplasty of total iliac artery occlusions. Radiology 168:275–276PubMed Gaines PA, Cumberland DC (1988) Wire-loop technique for angioplasty of total iliac artery occlusions. Radiology 168:275–276PubMed
3.
go back to reference Loose HW, Ryall CJ (1988) Common iliac artery occlusion: treatment with pull-through angioplasty. Radiology 168:273–274PubMed Loose HW, Ryall CJ (1988) Common iliac artery occlusion: treatment with pull-through angioplasty. Radiology 168:273–274PubMed
4.
go back to reference Ginsburg R, Thorpe P, Bowles CR et al (1989) Pull-through approach to percutaneous angioplasty of totally occluded common iliac arteries. Radiology 172:111–113PubMed Ginsburg R, Thorpe P, Bowles CR et al (1989) Pull-through approach to percutaneous angioplasty of totally occluded common iliac arteries. Radiology 172:111–113PubMed
5.
go back to reference Farrés MT, Grabenwöger F, Trattnig S et al (1996) Stenosis of the first segment of the vertebral artery: difficulties in angiographic diagnosis. Neuroradiology 38:6–10PubMedCrossRef Farrés MT, Grabenwöger F, Trattnig S et al (1996) Stenosis of the first segment of the vertebral artery: difficulties in angiographic diagnosis. Neuroradiology 38:6–10PubMedCrossRef
6.
go back to reference Staikov IN, Do DD, Remonda L et al (1999) The site of atheromatosis in the subclavian and vertebral arteries and its implication for angioplasty. Neuroradiology 41:537–542PubMedCrossRef Staikov IN, Do DD, Remonda L et al (1999) The site of atheromatosis in the subclavian and vertebral arteries and its implication for angioplasty. Neuroradiology 41:537–542PubMedCrossRef
7.
go back to reference Connors JJ III, Wojak JC (1999) Brachiocephalic angioplasty and stenting: vertebral artery origin. In: Connors JJ III, Wojak JC (eds) Interventional neuroradiology: strategies and practical techniques. W.B. Saunders Company, Philadelphia, pp 493–499 Connors JJ III, Wojak JC (1999) Brachiocephalic angioplasty and stenting: vertebral artery origin. In: Connors JJ III, Wojak JC (eds) Interventional neuroradiology: strategies and practical techniques. W.B. Saunders Company, Philadelphia, pp 493–499
8.
go back to reference Piotin M, Spelle L, Martin JB et al (2000) Percutaneous transluminal angioplasty and stenting of the proximal vertebral artery for symptomatic stenosis. AJNR Am J Neuroradiol 21:727–731PubMed Piotin M, Spelle L, Martin JB et al (2000) Percutaneous transluminal angioplasty and stenting of the proximal vertebral artery for symptomatic stenosis. AJNR Am J Neuroradiol 21:727–731PubMed
9.
go back to reference Manninen HI, Kaukanen ET, Ikäheimo R et al (2001) Brachial arterial access: endovascular treatment of failing Brescia-Cimino hemodialysis fistulas – initial success and long-term results. Radiology 218:711–718PubMed Manninen HI, Kaukanen ET, Ikäheimo R et al (2001) Brachial arterial access: endovascular treatment of failing Brescia-Cimino hemodialysis fistulas – initial success and long-term results. Radiology 218:711–718PubMed
Metadata
Title
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
Publication date
01-10-2007
Publisher
Springer-Verlag
Published in
Neuroradiology / Issue 10/2007
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-007-0256-7

Other articles of this Issue 10/2007

Neuroradiology 10/2007 Go to the issue