Endovascular Management of Brachiocephalic Disease

Brachiocephalic disease can pose important clinical risks and manifestations. Most of these lesions are amenable to endovascular treatment. However, these treatments have significant risks and require modified procedural techniques. All interventions require a careful preprocedural evaluation and consultation. These endovascular interventions should be performed by experienced operators with extensive previous carotid and endovascular experience in appropriate adequately equipped venues. Most brachiocephalic disease also has surgical options for treatment. This article presents guidelines to assist experienced operators to perform these procedures with proper technique after using good clinical judgment.