Transradial stenting of a carotid pseudoaneurysm

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Presentation transcript:

Transradial stenting of a carotid pseudoaneurysm C. Y. Maximilian Png, BA, Peter L. Faries, MD, Daniel K. Han, MD, Michael L. Marin, MD, Rami O. Tadros, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 5, Issue 1, Pages 54-57 (March 2019) DOI: 10.1016/j.jvscit.2018.10.007 Copyright © 2018 The Authors Terms and Conditions

Fig 1 Arch anatomy. Previous procedures include an arch replacement involving the ascending aorta-innominate artery and ascending aorta-left common carotid artery (CCA) bypasses, in addition to a thoracic endovascular aneurysm repair (TEVAR) involving a carotid-subclavian artery (SCA) bypass and the transposition of an aberrant vertebral artery (VA) from the aortic arch to the left common carotid artery distal to the subclavian bypass. Inset, Transradial deployment of the plug and subsequently the covered stent to treat the pseudoaneurysm. Copyright Mount Sinai Health System. All rights reserved. Reproduced with permission. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 54-57DOI: (10.1016/j.jvscit.2018.10.007) Copyright © 2018 The Authors Terms and Conditions

Fig 2 Axial neck computed tomography angiogram showing a 6.7-cm left common carotid anastomotic aneurysm. The contralateral carotid and vertebral arteries are patent. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 54-57DOI: (10.1016/j.jvscit.2018.10.007) Copyright © 2018 The Authors Terms and Conditions

Fig 3 Completion angiogram demonstrating successful transradial deployment of the covered stent and complete exclusion of the carotid pseudoaneurysm. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 54-57DOI: (10.1016/j.jvscit.2018.10.007) Copyright © 2018 The Authors Terms and Conditions