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 language | English |
|---|---|
| Pages (from-to) | 319-323 |
| Number of pages | 5 |
| Journal | Neurological Surgery |
| Volume | 34 |
| Issue number | 3 |
| Publication status | Published - 2006 Mar 1 |
| Externally published | Yes |
Keywords
- Bovine arch
- Carotid stenting
- Precise stent
- Shuttle sheath
- Transbrachial approach
ASJC Scopus subject areas
- Surgery
- Clinical Neurology