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Ann Vasc Surg ; 65: 282.e13-282.e15, 2020 May.
Article in English | MEDLINE | ID: mdl-31676379

ABSTRACT

A 77-year-old female with peripheral artery disease underwent brachiocephalic artery stenting for right upper extremity claudication. Given a very high atherosclerotic burden seen on CT, a dual-filter embolic protection device (Sentinel, Boston Scientific) was deployed from the right radial artery to protect the right common carotid and subclavian arteries, and therefore the vertebral artery, during the stenting procedure. This case report demonstrates a novel use of this dual-filter device to provide both carotid and vertebral artery embolic protection during brachiocephalic artery intervention.


Subject(s)
Brachiocephalic Trunk , Embolic Protection Devices , Embolism/prevention & control , Endovascular Procedures/instrumentation , Intermittent Claudication/therapy , Peripheral Arterial Disease/therapy , Stents , Upper Extremity/blood supply , Aged , Brachiocephalic Trunk/diagnostic imaging , Brachiocephalic Trunk/physiopathology , Constriction, Pathologic , Embolism/etiology , Endovascular Procedures/adverse effects , Female , Humans , Intermittent Claudication/diagnostic imaging , Intermittent Claudication/physiopathology , Peripheral Arterial Disease/diagnostic imaging , Peripheral Arterial Disease/physiopathology , Treatment Outcome , Vascular Patency
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