Korean Circ J.  2000 Mar;30(3):359-364. 10.4070/kcj.2000.30.3.359.

A Case of Transradial Approach to Carotid Artery Angioplasty and Stenting in Left Internal Carotid Stenosis

Abstract

Surgical endarterectomy has been shown to be superior to medical treatment in the management of severe carotid stenosis. Endarterectomy, although effective, does have limitations, and percutaneous transluminal angioplasty with stent may offer an alternative modality of treatment. We report on a patient with severe coronary disease that femoral arterial cannulation was not possible due to aorto-femoral shunt operation and absent pulse. The transradial approach was used for aortography, bilateral carotid angiography and successful elective stent deployment in the left internal carotid artery. The transradial approach might be useful alternative in case of problems with femoral approach.

Keyword

Transradial approach; Carotid artery; Stent

MeSH Terms

Angiography
Angioplasty*
Aortography
Carotid Arteries*
Carotid Artery, Internal
Carotid Stenosis*
Catheterization
Coronary Disease
Endarterectomy
Humans
Stents*
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