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KMID : 1155820220170010045
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Neurointervention
2022 Volume.17 No. 1 p.45 ~ p.49
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Y Stent Rendezvous to Treat Symptomatic Innominate Artery Stenosis
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Mitreski Goran
Asadi Hamed
Brooks Mark Duncan
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Abstract
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A male in his 60s presented with transient ischemic attacks 5 years after aortic arch branch graft repair for type A aortic dissection. Computed tomographic angiography demonstrated 80% stenosis of the brachiocephalic artery close to the origins of the right common carotid and subclavian arteries. The case was reviewed at our multidisciplinary aortic meeting and a plan for endovascular management was made. Percutaneous endovascular Y stenting from the innominate artery into the left common carotid and subclavian arteries was achieved using self-expanding nitinol stents with a rendezvous technique that included retrograde right radial artery, retrograde right external carotid artery, and retrograde right femoral arterial approaches. At 6 months review, the stents remained widely patent and the patient was symptom-free.
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KEYWORD
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Ischemic attack, transient, Transient, Stents, Endovascular procedures, Brachiocephalic trunk, Radial artery
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