Limb shaking transient ischemic attack secondary to innominate artery stenosis

Limb shaking transient ischemic attack is a rare disease manifestation typically caused by carotid stenosis but rarely caused by flow-limiting lesions involving more proximal vasculature. We demonstrate a case of limb shaking transient ischemic attack secondary to innominate stenosis in a 69-year-ol...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2023, Vol.9 (3), p.101277-101277
Main Authors: Gonring, Dakota, Bartko, Jonathan, Wehbe, Mohammad Rachad, Stoner, Michael, Sandness, David, Mix, Doran
Format: Report
Language:English
Online Access:Get full text
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Summary:Limb shaking transient ischemic attack is a rare disease manifestation typically caused by carotid stenosis but rarely caused by flow-limiting lesions involving more proximal vasculature. We demonstrate a case of limb shaking transient ischemic attack secondary to innominate stenosis in a 69-year-old woman who presented after a left leg shaking spell that caused her to fall and fracture her ipsilateral tibia. She did not experience changes in mentation and did not show any evidence of a postictal period. After receiving a comprehensive workup, she successfully underwent revascularization with innominate artery stenting. Continuous retrograde aspiration with the Enroute system (Silk Road Medical) and carotid clamping were used for embolic protection.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2023.101277