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Endovascular treatment of innominate artery stenosis via the bilateral brachial approach

Masaya Yamamoto1, Hisao Hara, Hideo Shinji

  • 1Division of Cardiovascular Medicine, Toho University Ohashi Medical Center, Tokyo, Japan. masaya-ym@nifty.com <masaya-ym@nifty.com>

Cardiovascular Revascularization Medicine : Including Molecular Interventions
|March 30, 2010
PubMed

Insights

Endovascular stenting effectively treats symptomatic subclavian and innominate artery disease. A novel pull-through technique using coronary devices via bilateral brachial access successfully managed complex innominate artery stenosis with abdominal aorta disease.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Symptomatic subclavian and innominate artery disease often presents with comorbidities like atherosclerotic vascular disease.
  • These comorbidities can complicate endovascular procedures, particularly regarding access sites and procedural difficulty.

Observation:

  • The case involved a patient with symptomatic innominate artery stenosis and concurrent atherosclerotic disease of the abdominal aorta.
  • Standard endovascular approaches were challenging due to the patient's complex vascular condition.

Findings:

  • Successful endovascular treatment was achieved using coronary devices.
  • The pull-through technique, applied via a bilateral brachial approach, proved effective in managing the complex stenosis.

Implications:

  • This case demonstrates the feasibility and success of using coronary devices and a specific technique for complex innominate artery stenosis.
  • The bilateral brachial approach offers a viable alternative for endovascular intervention in patients with challenging atherosclerotic disease profiles.

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