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Published in: Neuroradiology 8/2006

01-08-2006 | Interventional Neuroradiology

Percutaneous reconstruction of the innominate bifurcation using the retrograde ‘kissing stents’ technique

Authors: Shun-ichi Nagata, Kiyoshi Kazekawa, Shuko Matsubara, Sei Sugata

Published in: Neuroradiology | Issue 8/2006

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Abstract

Introduction

Obstructions of the supraaortic vessels are an important cause of morbidity associated with a variety of symptoms. Percutaneous transluminal angioplasty has evolved as an effective and safe treatment modality for occlusive lesions of the supraaortic vessels. However, the endovascular management of an innominate bifurcation has not previously been reported.

Methods

A 53-year-old female with a history of systematic hypertension, diabetes mellitus and hypercholesterolemia presented with left hemiparesis and dysarthria. Angiography of the innominate artery showed a stenosis of the innominate bifurcation.

Results

The lesion was successfully treated using the retrograde kissing stent technique via a brachial approach and an exposed direct carotid approach.

Conclusion

The retrograde kissing stent technique for the treatment of a stenosis of the innominate bifurcation was found to be a safe and effective alternative to conventional surgery.
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Metadata
Title
Percutaneous reconstruction of the innominate bifurcation using the retrograde ‘kissing stents’ technique
Authors
Shun-ichi Nagata
Kiyoshi Kazekawa
Shuko Matsubara
Sei Sugata
Publication date
01-08-2006
Publisher
Springer-Verlag
Published in
Neuroradiology / Issue 8/2006
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-006-0090-3

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