Transradial carotid stenting in a patient with bovine arch anatomy

Carotid stenting in difficult arch anatomy can be safely done by transradial route depending upon operator's experience. Left carotid artery stenosis with bovine arch anatomy can be approached by right arm approach (radial/brachial) easily. In cases with bovine arch anatomy, left arm approach by modified looping technique is still possible. We report a case of carotid stenting in a patient with bovine arch anatomy using percusurge anchoring technique through left radial approach.