[A case of carotid stenting via the transbrachial approach in the bovine arch].

Abstract

We report our experience in carotid stenting via the transbrachial approach in patients with anomalous origin of the left common carotid artery, the so-called bovine arch, in which both the right common carotid artery and the left common carotid artery arise from the brachiocephalic artery. Via percutaneous access to the right brachial artery, a 6Fr Shuttle sheath is advanced into the aortic arch to cannulate the left common carotid artery. A Guardwire distal-protection balloon is positioned within the left internal carotid artery distal to the stenosis. The lesion is dilated, followed by satisfactory deployment and dilation of a 6Fr Precise stent. Carotid stenting via the brachial artery in bovine arch appears feasible as an alternative to standard femoral access.

Cite this paper

@article{Akaji2006ACO, title={[A case of carotid stenting via the transbrachial approach in the bovine arch].}, author={Kazunori Akaji and Yoshio Tanizaki and Kenji Hiraga and Takenori Akiyama and Tomohisa Dembo}, journal={No shinkei geka. Neurological surgery}, year={2006}, volume={34 3}, pages={319-23} }