A case of carotid stenting via the transbrachial approach in the bovine arch

Kazunori Akaji, Yoshio Tanizaki, Kenji Hiraga, Takenori Akiyama, Tomohisa Dembo

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

We report our experience in carotid stenting via the transbrachial approach in patients with anomalous origin of the left common carotid artery, the so-called bovine arch, in which both the right common carotid artery and the left common carotid artery arise from the brachiocephalic artery. Via percutaneous access to the right brachial artery, a 6Fr Shuttle sheath is advanced into the aortic arch to cannulate the left common carotid artery. A Guardwire distal-protection balloon is positioned within the left internal carotid artery distal to the stenosis. The lesion is dilated, followed by satisfactory deployment and dilation of a 6Fr Precise stent. Carotid stenting via the brachial artery in bovine arch appears feasible as an alternative to standard femoral access.

Original languageEnglish
Pages (from-to)319-323
Number of pages5
JournalNeurological Surgery
Volume34
Issue number3
Publication statusPublished - 2006 Mar
Externally publishedYes

Fingerprint

Common Carotid Artery
Brachial Artery
Internal Carotid Artery
Thigh
Thoracic Aorta
Stents
Dilatation
Pathologic Constriction
Arteries

Keywords

  • Bovine arch
  • Carotid stenting
  • Precise stent
  • Shuttle sheath
  • Transbrachial approach

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Akaji, K., Tanizaki, Y., Hiraga, K., Akiyama, T., & Dembo, T. (2006). A case of carotid stenting via the transbrachial approach in the bovine arch. Neurological Surgery, 34(3), 319-323.

A case of carotid stenting via the transbrachial approach in the bovine arch. / Akaji, Kazunori; Tanizaki, Yoshio; Hiraga, Kenji; Akiyama, Takenori; Dembo, Tomohisa.

In: Neurological Surgery, Vol. 34, No. 3, 03.2006, p. 319-323.

Research output: Contribution to journalArticle

Akaji, K, Tanizaki, Y, Hiraga, K, Akiyama, T & Dembo, T 2006, 'A case of carotid stenting via the transbrachial approach in the bovine arch', Neurological Surgery, vol. 34, no. 3, pp. 319-323.
Akaji, Kazunori ; Tanizaki, Yoshio ; Hiraga, Kenji ; Akiyama, Takenori ; Dembo, Tomohisa. / A case of carotid stenting via the transbrachial approach in the bovine arch. In: Neurological Surgery. 2006 ; Vol. 34, No. 3. pp. 319-323.
@article{4832f7db627843118d3f5477e553d6f5,
title = "A case of carotid stenting via the transbrachial approach in the bovine arch",
abstract = "We report our experience in carotid stenting via the transbrachial approach in patients with anomalous origin of the left common carotid artery, the so-called bovine arch, in which both the right common carotid artery and the left common carotid artery arise from the brachiocephalic artery. Via percutaneous access to the right brachial artery, a 6Fr Shuttle sheath is advanced into the aortic arch to cannulate the left common carotid artery. A Guardwire distal-protection balloon is positioned within the left internal carotid artery distal to the stenosis. The lesion is dilated, followed by satisfactory deployment and dilation of a 6Fr Precise stent. Carotid stenting via the brachial artery in bovine arch appears feasible as an alternative to standard femoral access.",
keywords = "Bovine arch, Carotid stenting, Precise stent, Shuttle sheath, Transbrachial approach",
author = "Kazunori Akaji and Yoshio Tanizaki and Kenji Hiraga and Takenori Akiyama and Tomohisa Dembo",
year = "2006",
month = "3",
language = "English",
volume = "34",
pages = "319--323",
journal = "Neurological Surgery",
issn = "0301-2603",
publisher = "Igaku-Shoin Ltd",
number = "3",

}

TY - JOUR

T1 - A case of carotid stenting via the transbrachial approach in the bovine arch

AU - Akaji, Kazunori

AU - Tanizaki, Yoshio

AU - Hiraga, Kenji

AU - Akiyama, Takenori

AU - Dembo, Tomohisa

PY - 2006/3

Y1 - 2006/3

N2 - We report our experience in carotid stenting via the transbrachial approach in patients with anomalous origin of the left common carotid artery, the so-called bovine arch, in which both the right common carotid artery and the left common carotid artery arise from the brachiocephalic artery. Via percutaneous access to the right brachial artery, a 6Fr Shuttle sheath is advanced into the aortic arch to cannulate the left common carotid artery. A Guardwire distal-protection balloon is positioned within the left internal carotid artery distal to the stenosis. The lesion is dilated, followed by satisfactory deployment and dilation of a 6Fr Precise stent. Carotid stenting via the brachial artery in bovine arch appears feasible as an alternative to standard femoral access.

AB - We report our experience in carotid stenting via the transbrachial approach in patients with anomalous origin of the left common carotid artery, the so-called bovine arch, in which both the right common carotid artery and the left common carotid artery arise from the brachiocephalic artery. Via percutaneous access to the right brachial artery, a 6Fr Shuttle sheath is advanced into the aortic arch to cannulate the left common carotid artery. A Guardwire distal-protection balloon is positioned within the left internal carotid artery distal to the stenosis. The lesion is dilated, followed by satisfactory deployment and dilation of a 6Fr Precise stent. Carotid stenting via the brachial artery in bovine arch appears feasible as an alternative to standard femoral access.

KW - Bovine arch

KW - Carotid stenting

KW - Precise stent

KW - Shuttle sheath

KW - Transbrachial approach

UR - http://www.scopus.com/inward/record.url?scp=33645314917&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33645314917&partnerID=8YFLogxK

M3 - Article

C2 - 16529027

AN - SCOPUS:33645314917

VL - 34

SP - 319

EP - 323

JO - Neurological Surgery

JF - Neurological Surgery

SN - 0301-2603

IS - 3

ER -