TY - JOUR
T1 - Carotid artery stenting in a patient with an incidentally found double aortic arch
T2 - A case report
AU - Kitamura, Yuki
AU - Sakata, Hiroyuki
AU - Ezura, Masayuki
AU - Ishida, Tomohisa
AU - Endo, Hidenori
AU - Inoue, Takashi
AU - Tominaga, Teiji
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by JSPS KAKENHI Grant Number JP19K18414.
Publisher Copyright:
© The Author(s) 2021.
PY - 2021/10
Y1 - 2021/10
N2 - Double aortic arch is a type of congenital vascular ring, which rarely presents in adults. Herein, we report a case of carotid artery stenting (CAS) accompanied by an incidentally found double aortic arch. A 77-year-old man presented with bilateral severe carotid artery stenosis. The patient underwent truncal 3D-computed tomography angiography (CTA) to evaluate the access route before CAS, which lead to the diagnosis of an asymptomatic double aortic arch. Referring to the 3D-CTA images, a guiding catheter was successfully navigated to the targeted common carotid artery via the transfemoral approach despite the challenging, complex anatomy of the aortic arch. CAS was performed in both carotid arteries under distal balloon protection, without any neurological deficits. Considering the possible presence of anatomical variants such as double aortic arch, preoperative evaluation of the access route would be efficient for prospective CAS patients.
AB - Double aortic arch is a type of congenital vascular ring, which rarely presents in adults. Herein, we report a case of carotid artery stenting (CAS) accompanied by an incidentally found double aortic arch. A 77-year-old man presented with bilateral severe carotid artery stenosis. The patient underwent truncal 3D-computed tomography angiography (CTA) to evaluate the access route before CAS, which lead to the diagnosis of an asymptomatic double aortic arch. Referring to the 3D-CTA images, a guiding catheter was successfully navigated to the targeted common carotid artery via the transfemoral approach despite the challenging, complex anatomy of the aortic arch. CAS was performed in both carotid arteries under distal balloon protection, without any neurological deficits. Considering the possible presence of anatomical variants such as double aortic arch, preoperative evaluation of the access route would be efficient for prospective CAS patients.
KW - Carotid artery stenting
KW - aortic arch anomaly
KW - carotid artery stenosis
KW - double aortic arch
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U2 - 10.1177/15910199211001717
DO - 10.1177/15910199211001717
M3 - Article
C2 - 33673756
AN - SCOPUS:85102133846
SN - 1591-0199
VL - 27
SP - 722
EP - 726
JO - Interventional Neuroradiology
JF - Interventional Neuroradiology
IS - 5
ER -