Korean Circ J.  1998 Aug;28(8):1409-1413. 10.4070/kcj.1998.28.8.1409.

A Case of Transseptal Approach to Carotid Artery Stenting in Right Internal Carotid Stenosis

• Kang WC
• Yun YS
• Choi D
• Shim WH

• KMID: 2093669
• DOI: http://doi.org/10.4070/kcj.1998.28.8.1409

Abstract

Although the carotid endarterectomy presently represents the standard therapeutic approach for most patients with significant carotid artery stenosis, a percutaneous transluminal angioplasty (PTA) with stenting has become an alternative method for treating patients with co-mobid conditions, particulary coronary artery disease. A PTA with stenting has the potential for being safer, less traumatic, more cost-effective, and useful in patients at high surgical risk. As well, they are not limited to the cervical carotid artery. But it is reported that carotid angioplasty by femoral approach is difficult to do in 1 - 2% of patients with carotid stenosis due to abnormal origin of carotid artery or occlusion of femoral arteries. We succeeded in PTA with stenting of tight stenosis of right internal carotid artery through the transseptal approach in case of a sharply angled right brachiocephalic artery take-off from the aorta. The transseptal approach can be used for PTA with stenting in case of problems with femoral approach.

Keyword

Carotid artery stenosis; Transseptal approach; Percutaneous transluminal angioplasty with stenting

MeSH Terms

Angioplasty
Aorta
Arteries
Carotid Arteries*
Carotid Artery, Internal
Carotid Stenosis*
Constriction, Pathologic
Coronary Artery Disease
Endarterectomy, Carotid
Femoral Artery
Humans
Stents*