Establishing stable innominate access by inserting a body floss wire from the brachial artery to the femoral artery facilitates right carotid artery stenting in Type III arch anatomy

Ming Jen Kuo, Po Lin Chen, Chun Che Shih, I. Ming Chen

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: In patients with severe carotid artery stenosis, the anatomy of their Type III aortic arch increases the difficulty and complication rates during carotid artery stenting because of its tortuosity and sharp angulation for cannulation as well as the unstable support of the guidewire for shuttle sheath delivery. METHODS: We demonstrate a novel technique to overcome these challenges, namely the creation of stable innominate artery access by inserting a through-and-through body floss wire from the right brachial artery to the femoral artery. RESULTS: We successfully performed right carotid artery stenting in 3 patients with Type III arch anatomy. All patients received regular outpatient follow-up uneventfully for more than 1 year. CONCLUSIONS: This facilitates the procedure of the right carotid artery stenting in patients with Type III aortic arch.

Original languageEnglish
Pages (from-to)8-11
Number of pages4
JournalInteractive Cardiovascular and Thoracic Surgery
Volume26
Issue number1
DOIs
Publication statusPublished - Jan 1 2018
Externally publishedYes

Fingerprint

Brachial Artery
Femoral Artery
Carotid Arteries
Anatomy
Thoracic Aorta
Brachiocephalic Trunk
Carotid Stenosis
Catheterization
Outpatients

Keywords

  • Body floss wire
  • Carotid artery stenting
  • Type III arch

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Establishing stable innominate access by inserting a body floss wire from the brachial artery to the femoral artery facilitates right carotid artery stenting in Type III arch anatomy",
abstract = "OBJECTIVES: In patients with severe carotid artery stenosis, the anatomy of their Type III aortic arch increases the difficulty and complication rates during carotid artery stenting because of its tortuosity and sharp angulation for cannulation as well as the unstable support of the guidewire for shuttle sheath delivery. METHODS: We demonstrate a novel technique to overcome these challenges, namely the creation of stable innominate artery access by inserting a through-and-through body floss wire from the right brachial artery to the femoral artery. RESULTS: We successfully performed right carotid artery stenting in 3 patients with Type III arch anatomy. All patients received regular outpatient follow-up uneventfully for more than 1 year. CONCLUSIONS: This facilitates the procedure of the right carotid artery stenting in patients with Type III aortic arch.",
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T1 - Establishing stable innominate access by inserting a body floss wire from the brachial artery to the femoral artery facilitates right carotid artery stenting in Type III arch anatomy

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AU - Shih, Chun Che

AU - Chen, I. Ming

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N2 - OBJECTIVES: In patients with severe carotid artery stenosis, the anatomy of their Type III aortic arch increases the difficulty and complication rates during carotid artery stenting because of its tortuosity and sharp angulation for cannulation as well as the unstable support of the guidewire for shuttle sheath delivery. METHODS: We demonstrate a novel technique to overcome these challenges, namely the creation of stable innominate artery access by inserting a through-and-through body floss wire from the right brachial artery to the femoral artery. RESULTS: We successfully performed right carotid artery stenting in 3 patients with Type III arch anatomy. All patients received regular outpatient follow-up uneventfully for more than 1 year. CONCLUSIONS: This facilitates the procedure of the right carotid artery stenting in patients with Type III aortic arch.

AB - OBJECTIVES: In patients with severe carotid artery stenosis, the anatomy of their Type III aortic arch increases the difficulty and complication rates during carotid artery stenting because of its tortuosity and sharp angulation for cannulation as well as the unstable support of the guidewire for shuttle sheath delivery. METHODS: We demonstrate a novel technique to overcome these challenges, namely the creation of stable innominate artery access by inserting a through-and-through body floss wire from the right brachial artery to the femoral artery. RESULTS: We successfully performed right carotid artery stenting in 3 patients with Type III arch anatomy. All patients received regular outpatient follow-up uneventfully for more than 1 year. CONCLUSIONS: This facilitates the procedure of the right carotid artery stenting in patients with Type III aortic arch.

KW - Body floss wire

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