Carotid stenting through the right brachial approach for left internal carotid artery stenosis and bovine aortic arch configuration

• Published in: European radiology Vol. 19; no. 8; pp. 2009 - 2015
• Main Authors: Montorsi, Piero, Galli, Stefano, Ravagnani, Paolo, Ghulam Ali, Sarah, Trabattoni, Daniela, Fabbiocchi, Franco, Lualdi, Alessandro, Ballerini, Giovanni, Andreini, Daniele, Pontone, Gianluca, Annoni, Andrea, Bartorelli, Antonio L.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer-Verlag 01.08.2009; Springer Nature B.V
• Subjects: Aged; Aged, 80 and over; Animals; Aorta, Thoracic - abnormalities; Aorta, Thoracic - diagnostic imaging; Blood Vessel Prosthesis; Brachial Artery - diagnostic imaging; Carotid Stenosis - diagnostic imaging; Carotid Stenosis - surgery; Cattle; Diagnostic Radiology; Feasibility Studies; Female; Humans; Imaging; Internal Medicine; Interventional; Interventional Radiology; Male; Medicine; Medicine & Public Health; Middle Aged; Neuroradiology; Prosthesis Implantation - methods; Radiography, Interventional - methods; Radiology; Stents; Treatment Outcome; Ultrasound; CT angiography; Aortic arch anomalies; Carotid artery stenting
• ISSN: 0938-7994; 1432-1084
• DOI: 10.1007/s00330-009-1355-0

Unfavorable complex anatomy or congenital anomalies of supra-aortic vessel take-off may increase carotid artery stenting (CAS) procedural difficulties and complications through the femoral route. We assessed the feasibility, safety, and efficacy of CAS through the right brachial approach in patients in whom left internal carotid artery stenosis and bovine aortic arch configuration were identified with computed tomography (CT) angiography. Bovine configuration of the aortic arch and left carotid artery stenosis were easily identified by CT angiography and successfully treated through the right brachial approach technique.