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Published on: July 9, 2020
Carotid stent-supported angioplasty via radiobrachial route
Nazli Janjua1, Navin Verma, Ammar Alkawi
1Zeenat Qureshi Stroke Research Center, Department of Neurology and Neurosciences, University of Medicine and Dentistry New Jersey, DOC 8100, 90 Bergen Street, Newark, NJ 07103, USA. janjuana@undnj.edu
Insights
This study demonstrates the successful use of the radial artery approach for carotid artery stenting in a patient with complex aortic disease. This technique offers an alternative when the transfemoral route is not feasible for treating carotid artery stenosis.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Neurology
Background:
- Atherosclerotic disease of the cervical internal carotid artery often requires endovascular stent-supported angioplasty.
- The traditional transfemoral approach is contraindicated in patients with common femoral artery or abdominal aorta atheropathy.
Observation:
- A 68-year-old man with type B aortic dissection presented with severe right internal carotid artery origin stenosis and ipsilateral retinal ischemic events.
- The transfemoral approach was not suitable due to the patient's aortic pathology.
Findings:
- Carotid stent deployment was successfully performed using the radial artery approach.
- This case highlights the feasibility and technical aspects of radial access for carotid stenting.
Implications:
- The radial approach provides a viable alternative for carotid stenting in high-risk patients unsuitable for transfemoral access.
- This technique expands treatment options for complex atherosclerotic disease involving the carotid arteries and aorta.
Abstract:
Endovascular stent-supported angioplasty is a treatment option for atherosclerotic disease of the cervical internal carotid artery in high-risk patients. The traditional transfemoral approach is not suitable for patients who suffer from common femoral artery or abdominal aorta atheropathy. We report a case of carotid stent deployment using the radial route in a 68-year-old man with type B aortic dissection, having severe right internal carotid artery origin stenosis, presenting with ipsilateral retinal ischemic events. Technical aspects of carotid stenting via the radial approach are described and the related literature is discussed.
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