Superficial temporal artery access for carotid artery stenting: A case report

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Ádám Csavajda1, Sándor Nardai2, Olivier F Bertrand3

  • 1Invasive Cardiology, Bács-Kiskun County Hospital, Teaching Hospital of the Albert Szent-Györgyi Medical School University of Szeged Kecskemét Hungary.

Clinical Case Reports
|February 16, 2023
PubMed

Insights

Superficial temporal artery (STA) access offers a viable alternative for carotid artery angiography and intervention in complex cases. This approach is crucial when standard arterial access sites are insufficient due to generalized vascular disease.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Neurology

Background:

  • Percutaneous intervention for generalized vascular disease presents challenges due to limited access site options.
  • Critical internal carotid artery (ICA) stenosis poses a significant risk, especially in patients with complex comorbidities.

Observation:

  • A 66-year-old male with a history of stroke, arteria lusoria, bilateral femoral amputations, left ICA occlusion, and coronary artery disease presented with critical right ICA stenosis.
  • Standard right distal radial artery access failed for common carotid artery (CCA) cannulation.

Findings:

  • Successful diagnostic angiography and intervention for right ICA-CCA stenosis were achieved via superficial temporal artery (STA) puncture.
  • STA access proved effective when conventional methods were unsuccessful.

Implications:

  • STA puncture is a valuable alternative access site for carotid interventions in challenging vascular anatomies.
  • This technique expands treatment options for patients with severe peripheral and cerebrovascular disease.

Keywords:
carotid artery interventioncase reportdistal radial artery accesssuperficial temporal artery access

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