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

研究成果: 雜誌貢獻文章同行評審

1 引文 斯高帕斯(Scopus)

摘要

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.
原文英語
頁(從 - 到)8-11
頁數4
期刊Interactive Cardiovascular and Thoracic Surgery
26
發行號1
DOIs
出版狀態已發佈 - 一月 1 2018
對外發佈Yes

ASJC Scopus subject areas

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

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