Trans-radial Carotid Artery Stenting in a Patient with Abdominal Aortic Occlusion
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 129-134, 2016.
Artigo
em Inglês
| WPRIM
| ID: wpr-11241
ABSTRACT
We report transradial access (TRA) for emergency carotid artery stenting (CAS) as a useful alternative when the femoral artery cannot be accessed. A 63-year-old man arrived at our emergency room 30 minutes after left hemiplegia and loss of consciousness. Brain computed tomography (CT) anigograpy showed occlusion of the right interntal carotid artery (ICA) and CT perfusion revealed delayed time-to-peak in the territory of the middle cerebral artery. For, endovascular treatment, trans-femoral access (TFA) was attempted but failed due to occlusion of the abdominal aorta. So, we changed access route via radial artery and confirmed proximal ICA dissection. CAS was attempted via TRA and it was successfully performed. Final angiography showed recanalization of ICA and patient was clinically improved.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Aorta Abdominal
/
Perfusão
/
Inconsciência
/
Encéfalo
/
Angiografia
/
Artérias Carótidas
/
Stents
/
Artéria Radial
/
Artéria Cerebral Média
/
Acidente Vascular Cerebral
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Cerebrovascular and Endovascular Neurosurgery
Ano de publicação:
2016
Tipo de documento:
Artigo
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