Usefulness of stent placement for innominate artery stenosis via the right brachial artery under protection by balloon guide catheter: a technical case report

A method of cerebral protection during endovascular treatment for innominate artery stenosis (IAS) has not been established. Herein, we report a case of symptomatic IAS in a 76-year-old woman. A balloon guide catheter (BGC) was inserted through the right brachial artery (BA) and guided distally to t...

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Bibliographic Details
Published in:Acta neurochirurgica 2022-11, Vol.164 (11), p.2875-2880
Main Authors: Kuwabara, Masashi, Sakamoto, Shigeyuki, Okazaki, Takahito, Ishii, Daizo, Hosogai, Masahiro, Maeda, Yuyo, Horie, Nobutaka
Format: Article
Language:English
Subjects:
Aged
Aneurysms
Balloon treatment
Brachial Artery - diagnostic imaging
Brachial Artery - surgery
Brachiocephalic Trunk - diagnostic imaging
Brachiocephalic Trunk - surgery
Cardiovascular system
Case Report - Neurosurgical technique evaluation
Case reports
Catheters
Cerebral blood flow
Constriction, Pathologic
Embolization
Female
Humans
Implants
Interventional Radiology
Magnetic resonance imaging
Medical imaging
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Neurosurgical technique evaluation
Stenosis
Stents
Surgical Orthopedics
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Summary:A method of cerebral protection during endovascular treatment for innominate artery stenosis (IAS) has not been established. Herein, we report a case of symptomatic IAS in a 76-year-old woman. A balloon guide catheter (BGC) was inserted through the right brachial artery (BA) and guided distally to the stenosis. The BGC balloon was inflated, and stenting was performed with balloon protection of both the anterior and posterior cerebral circulation, without any complications. Stenting of the IAS with the BGC using the BA approach is useful, as it is a simple technique that can prevent distal embolization.
ISSN:0942-0940
0001-6268
0942-0940
DOI:10.1007/s00701-022-05367-8