scholarly journals The Use of Endarterectomy or Stenting for Cervical Internal Carotid Artery Stenosis in Neurosurgical Facilities that Lack Full-time Neuroendovascular Specialists

2018 ◽  
Vol 46 (4) ◽  
pp. 280-284
Author(s):  
Akifumi IZUMIHARA ◽  
Hiroshi FUJIOKA ◽  
Yoshiteru SOEJIMA ◽  
Katsuhiro YAMASHITA ◽  
Noboru OSHITA
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Internal Carotid ◽  
Internal Carotid Artery Stenosis ◽  
Artery Stenosis ◽  
Full Time ◽  
Cervical Internal Carotid Artery

scholarly journals Snare-Assisted Trans-Brachial Stenting for the Cervical Internal Carotid Artery Stenosis of Patient with Aorto-Iliac Occlusion

2006 ◽  
Vol 12 (1_suppl) ◽  
pp. 221-228
Author(s):  
H. Oowaki ◽  
N Matsuura ◽  
M. Ishikawa
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Stent Placement ◽  
Carotid Artery Stenosis ◽  
Internal Carotid ◽  
Internal Carotid Artery Stenosis ◽  
Artery Stenosis ◽  
Femoral Access ◽  
Cervical Internal Carotid Artery ◽  
Iliac Occlusion

We describe a case of endo-luminal stent placement with Snare-assist for a cervical internal carotid artery stenosis in which percutaneous access was obtained via the brachial artery. A 68-year-old man with known disease of the carotid, peripheral, and coronary arteries, with Human T-cell Lymphotrophic Virus type-1 (HTLV-1) Associated Myelopathy (HAM) presented for endoluminal revascularization of a severe, progressive right internal carotid artery stenosis, but with aorto-iliac occlusion. Transfemoral access was complicated by an aorto-iliac occlusion. A trans-brachial approach was successfully attempted, and a SMARTer stent (Cordis Endovascular, Miami Lakes, FL) was successfully placed through a 7-French Shuttle-SL guide sheath (Cook, Bloomington) under Snare-assist. The trans-brachial approach is becoming an increasingly viable alternative route for stent placement in patients with contra-indicated or complicated femoral access routes. As devices become increasingly more pliable and smaller, the trans-brachial route will be used with increasing frequency in the select patient population for stenting of both the cervical and intracranial circulation.

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