Transradial stenting of the cervical internal carotid artery: Technical case report

Elad I. Levy, Stanley H. Kim, Bernard Bendok, Adnan I. Qureshi, Lee R. Guterman, L. Nelson Hopkins, Reza Malek, Randall T. Higashida, Michael B. Horowitz, G. Michael Lemole, Bernd Richling

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

OBJECTIVE AND IMPORTANCE: We describe a case of endoluminal stent placement for a cervical internal carotid artery stenosis in which percutaneous access was obtained via the radial artery. CLINICAL PRESENTATION: A 69-year-old man with known disease of the carotid, peripheral, and coronary arteries as well as chronic obstructive pulmonary disease presented for endoluminal revascularization of a severe, progressive right internal carotid artery stenosis. TECHNIQUE: Transfemoral access was complicated by the previous placement of a synthetic graft as the result of a previous right-to-left iliofemoral artery bypass procedure and an aortoiliac occlusion. A transradial approach was successfully attempted, and a Precise stent (Cordis Endovascular, Miami Lakes, FL) was successfully placed through a 6-French guide sheath. CONCLUSION: The transradial approach is becoming an increasingly viable alternative route for stent placement in patients with contraindicated or complicated femoral access routes. As devices become increasingly more pliable and smaller, the transradial route will be used with increasing frequency in this select patient population for stenting of both the cervical and intracranial circulation.

Original languageEnglish (US)
Pages (from-to)448-452
Number of pages5
JournalNeurosurgery
Volume53
Issue number2
StatePublished - Aug 1 2003
Externally publishedYes

Fingerprint

Internal Carotid Artery
Stents
Carotid Stenosis
Carotid Artery Diseases
Radial Artery
Peripheral Arterial Disease
Lakes
Thigh
Chronic Obstructive Pulmonary Disease
Coronary Artery Disease
Arteries
Transplants
Equipment and Supplies
Population

Keywords

  • Carotid stenosis
  • Carotid stent
  • Endovascular
  • Transradial

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Levy, E. I., Kim, S. H., Bendok, B., Qureshi, A. I., Guterman, L. R., Hopkins, L. N., ... Richling, B. (2003). Transradial stenting of the cervical internal carotid artery: Technical case report. Neurosurgery, 53(2), 448-452.

Transradial stenting of the cervical internal carotid artery : Technical case report. / Levy, Elad I.; Kim, Stanley H.; Bendok, Bernard; Qureshi, Adnan I.; Guterman, Lee R.; Hopkins, L. Nelson; Malek, Reza; Higashida, Randall T.; Horowitz, Michael B.; Lemole, G. Michael; Richling, Bernd.

In: Neurosurgery, Vol. 53, No. 2, 01.08.2003, p. 448-452.

Research output: Contribution to journalArticle

Levy, EI, Kim, SH, Bendok, B, Qureshi, AI, Guterman, LR, Hopkins, LN, Malek, R, Higashida, RT, Horowitz, MB, Lemole, GM & Richling, B 2003, 'Transradial stenting of the cervical internal carotid artery: Technical case report', Neurosurgery, vol. 53, no. 2, pp. 448-452.
Levy EI, Kim SH, Bendok B, Qureshi AI, Guterman LR, Hopkins LN et al. Transradial stenting of the cervical internal carotid artery: Technical case report. Neurosurgery. 2003 Aug 1;53(2):448-452.
Levy, Elad I. ; Kim, Stanley H. ; Bendok, Bernard ; Qureshi, Adnan I. ; Guterman, Lee R. ; Hopkins, L. Nelson ; Malek, Reza ; Higashida, Randall T. ; Horowitz, Michael B. ; Lemole, G. Michael ; Richling, Bernd. / Transradial stenting of the cervical internal carotid artery : Technical case report. In: Neurosurgery. 2003 ; Vol. 53, No. 2. pp. 448-452.
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