Department of Cardiology, Changi General Hospital, Singapore.
Catheter Cardiovasc Interv. 2010 Mar 1;75(4):540-3. doi: 10.1002/ccd.22350.
Carotid stenting in difficult arch anatomy can be safely done by transradial route depending upon operator's experience. Left carotid artery stenosis with bovine arch anatomy can be approached by right arm approach (radial/brachial) easily. In cases with bovine arch anatomy, left arm approach by modified looping technique is still possible. We report a case of carotid stenting in a patient with bovine arch anatomy using percusurge anchoring technique through left radial approach.
经桡动脉途径行颈动脉支架置入术可安全用于处理困难的动脉弓解剖结构，具体取决于术者经验。左颈总动脉狭窄伴牛型动脉弓解剖结构者可经右臂（桡动脉/肱动脉）途径轻松入路。对于牛型动脉弓解剖结构者，采用改良套圈技术的左臂入路仍然可行。我们报告了一例经左桡动脉途径采用 Percusurge 锚定技术行颈动脉支架置入术的牛型动脉弓解剖结构患者病例。
