Related Experiment Videos
Carotid stenting in the bovine arch
James A Shaw1, Edwin C Gravereaux, Andrew C Eisenhauer
1Department of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
Summary
This study details stent-supported angioplasty for bovine arch anatomy, where the left common carotid artery originates unusually. It covers the anatomical variant and describes various procedural approaches for successful intervention.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Neuroendovascular Therapy
Background:
- The bovine arch is an anatomical variation where the right brachiocephalic artery and left common carotid artery share a single trunk originating from the aortic arch.
- This anatomy presents unique challenges for endovascular interventions involving the left common carotid artery.
Observation:
- This report details the authors' experience with stent-supported angioplasty in patients presenting with the bovine arch variant.
- The study focuses on the left internal carotid artery interventions within this specific anatomical context.
Findings:
- The occurrence and implications of the bovine arch anatomical variant are discussed in relation to endovascular procedures.
- Techniques utilizing femoral, brachial, and radial artery access for successful stent-supported angioplasty are described.
Implications:
- Understanding the bovine arch anatomy is crucial for planning and executing safe and effective endovascular treatments of the left common carotid artery.
- The described approaches offer potential solutions for navigating this complex vascular anatomy during angioplasty and stenting procedures.