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Effective Management of High-Grade Left Common Carotid and Brachiocephalic Arterial Stenosis With Endovascular
Mohammed Salih1, Osama Abdel-Hafez2, Ramzi Ibrahim1
1Internal Medicine, St. Joseph Mercy Oakland Hospital, Pontiac, USA.
Abstract:
Multi-vessel disease including the brachiocephalic artery remains a relatively rare finding in atherosclerotic disease when compared to stenosis of other major vasculature. Its management presents many difficulties. Endovascular intervention is a highly preferred choice of therapy in these patients although it is dependent on operator experience. We present a case of left common carotid and brachiocephalic arterial stenosis in a patient who presented with neurological alterations that was treated with endovascular stenting. Technical difficulty was encountered during intervention but was successful.
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