Published in:
01-08-2009 | Interventional
Carotid stenting through the right brachial approach for left internal carotid artery stenosis and bovine aortic arch configuration
Authors:
Piero Montorsi, Stefano Galli, Paolo Ravagnani, Sarah Ghulam Ali, Daniela Trabattoni, Franco Fabbiocchi, Alessandro Lualdi, Giovanni Ballerini, Daniele Andreini, Gianluca Pontone, Andrea Annoni, Antonio L. Bartorelli
Published in:
European Radiology
|
Issue 8/2009
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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.