Brachial artery approach for transluminal angioplasty of the internal carotid artery

✍ Scribed by Slevert, H. ;Ensslen, R. ;Fach, A. ;Merle, H. ;Rubel, C. ;Spies, H. ;Sultan, N. ;Beykirch, K.-F. ;Theis, R. ;Schultze, H.-J.

• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 276 KB
• Volume: 39
• Category: Article
• ISSN: 0098-6569
• DOI: 10.1002/(sici)1097-0304(199612)39:4<421::aid-ccd22>3.0.co;2-e

✦ Synopsis

One possible problem in

Internal carotid angloplasty is lnacessibllity of the lesion due to elongation of the aortic arch, the brachiocephallc trunk, or the carotid artery itself. A new approach to performing angioplasty of the right or left Internal carotid artery utilizing the brachial artery was used after failure of the transfemoral approach in 5 lesions (4 patients). The common carotid artery was cannulated with preformed 5F catheters. Angioplasty was performed with a conventional balloon dllatation catheter. If required, a Wall stent was Implanted to optimize the angiographlc result. After failure of the conventional transfemoral technique, the brachial technique permitted successful angloplasty of the lpsllateral internal carotid artery in 4 lesions and the contralateral internal carotid artery in 1 lesion. In 1 patient, a stent was Implanted. No complications occurred. The mean stenosis diameter decreased from 77.8 f: 6.3% to 17.8 f 9.1%. Doppler sonography performed 4-6 months later showed no restenosls. The brachial artery approach seems to be a suitable alternative to the femoral technique. o ISM wiiey-LISS, inc.