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KMID : 1005420160180020129
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Journal of Cerebrovascular and Endovascular Neurosurgery
2016 Volume.18 No. 2 p.129 ~ p.134
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Trans-radial Carotid Artery Stenting in a Patient with Abdominal Aortic Occlusion
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Ha Jin-Heon
Kim Hoon
Park Ik-Seong
Kim Seong-Rim
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Abstract
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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.
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KEYWORD
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Carotid artery, Stent, Dissection, Radial artery, Stroke
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