Transradial approach for carotid artery stenting in a patient with severe peripheral arterial disease

Damian Maciejewski, Piotr Pieniążek, Lukasz Tekieli, Piotr Paluszek, Karolina Dzierwa, Mariusz Trystuła, Magdalena Wójcik-Pędziwiatr, Piotr Podolec, Damian Maciejewski, Piotr Pieniążek, Lukasz Tekieli, Piotr Paluszek, Karolina Dzierwa, Mariusz Trystuła, Magdalena Wójcik-Pędziwiatr, Piotr Podolec

Abstract

We present a case of a 73-year-old man with critical bilateral internal carotid artery stenosis, recent right-hemisphere stroke and severe peripheral artery disease in whom right internal carotid artery stenting (RICA-CAS) was performed successfully via a right transradial approach.

Keywords: carotid artery stenting; embolic protection device; peripheral artery disease; radial approach; stroke.

Figures

Figure 1
Figure 1
Suprapubic femoro-femoral bypass (arrows)
Figure 2
Figure 2
Successful cannulation of the right common carotid artery with 7 Fr Guider Softip Guiding Catheter via the right radial artery
Figure 3
Figure 3
Selective angiography confirming critical ostial stenosis of the right internal carotid artery
Figure 4
Figure 4
Self-expanding Carotid Wallstent 7 mm × 30 mm post-dilatation with 5.0 mm × 20 mm balloon
Figure 5
Figure 5
Final angiography showing optimal effect of RICA-CAS

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Source: PubMed

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