Abstract
This paper focuses on cases with difficult access for carotid artery stenting (CAS), and discusses management of such cases.Of 135 consecutive patients who underwent CAS from January 2012 to December 2015 in our department, 11 (5.2%) had a difficult access route. In 3 cases with stenosis or elongation of the iliac arteries, we selected a smaller guiding sheath to pass through the artery. In one case with elongation of the abdominal aorta, a long and kink-resistant sheath was used to perform CAS. In 7 cases with a difficult femoral approach, CAS was performed via the right brachial artery. All 11 CAS procedures were uneventful without any perioperative complications.Even in cases with a difficult access route, CAS can be performed safely with several techniques as described in this article.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.