Wang M T, Schembri M, Kok H K, Maingard J, Foo M, Lamanna A, Brooks M, Asadi H
Interventional Radiology and Neurointerventional Services, Department of Radiology, Austin Health, Melbourne, Australia.
Interventional Radiology Service, Department of Radiology, Northern Health, Melbourne, Australia.
CVIR Endovasc. 2021 Jan 18;4(1):17. doi: 10.1186/s42155-020-00194-3.
This report describes a patient who presented with acute but transient right arm weakness and altered sensation secondary to severe stenosis of the left common carotid artery (CCA) origin. Endovascular stenting of the stenosed origin was achieved utilising a novel rendezvous technique through combined retrograde common carotid artery and anterograde transfemoral approaches. This technique has numerous potential advantages over traditional transfemoral endovascular and open retrograde common carotid artery approaches. It allows increased procedural control and success in traversing the stenosis and provides a smooth transition for the stent delivery catheter. An open cutdown procedure or open surgical technique is not required. Our patient recovered well from the procedure with no complications within the three-month follow up period.
本报告描述了一名患者，该患者因左颈总动脉（CCA）起始部严重狭窄出现急性但短暂的右臂无力和感觉改变。通过逆行颈总动脉和经股动脉顺行联合的新型会师技术，实现了对狭窄起始部的血管内支架置入。与传统的经股动脉血管内和开放逆行颈总动脉方法相比，该技术具有许多潜在优势。它可增强操作控制能力，提高穿越狭窄的成功率，并为支架输送导管提供平稳过渡。无需进行开放切开手术或开放手术技术。我们的患者术后恢复良好，在三个月的随访期内无并发症发生。
