Unit:
Speciality Endovascular TechniquesLibrary of the School of Health Sciences
Author:
Τραχανέλλης Σοφοκλής
Supervisors info:
Λιάπης Χρήστος, Καθηγητής
Original Title:
Αγγειοπλαστική και stenting έσω καρωτίδος σε περίπτωση αδυναμίας καθετηριασμού μέσω του αορτικού τόξου
Translated title:
Internal carotid artery stenting in aortic arch with difficult anatomy
Summary:
The main purpose of the carotid artery angioplasty and stenting (CAS) is the
prevention of embolic cerebrovascular events in patients with critical internal
carotid artery stenosis. It is usually performed with right femoral access.
This technique can become difficult and has high incidence of embolic events in
patient with unfavourable aortic arch anatomy, specially in those with type III
aortic arch and bovine arch.
Specially preformed catheters, direct transcervical access, temporal
pull-through techniques and brachial – radial access are some alternatives that
help overcome these difficulties.
Current data and reports demonstrate the feasibility, safety and success of
these techniques that seem to have better results comforted with the classic
femoral approach in patients with unfavourable aortic arches.
Keywords:
Internal carotid stenting, Aortic arch, Catheterization, Alternative access, Temporal artery
