Transbrachial Carotid Artery Stenting Can Prevent Renal Cholesterol Embolism

A 78-year-old man was admitted for the treatment of internal carotid artery stenosis. The left internal carotid artery was occluded and stenosis of the right internal carotid artery was progressive. The patient had a history of renal cholesterol embolism associated with percutaneous peripheral inter...

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Veröffentlicht in:Internal Medicine 2014, Vol.53(9), pp.1017-1021
Hauptverfasser: Oomura, Masahiro, Yamada, Kentaro, Anan, Chise, Yamada, Gohei, Hashimoto, Nobukazu, Kamimoto, Kaoru
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container_end_page 1021
container_issue 9
container_start_page 1017
container_title Internal Medicine
container_volume 53
creator Oomura, Masahiro
Yamada, Kentaro
Anan, Chise
Yamada, Gohei
Hashimoto, Nobukazu
Kamimoto, Kaoru
description A 78-year-old man was admitted for the treatment of internal carotid artery stenosis. The left internal carotid artery was occluded and stenosis of the right internal carotid artery was progressive. The patient had a history of renal cholesterol embolism associated with percutaneous peripheral intervention. Stenting of the right internal carotid artery was successfully performed via the right brachial artery, and cholesterol embolism was not noted after the procedure. This case suggests that carotid artery stenting (CAS) performed via a brachial approach is less likely to elicit cholesterol embolism than CAS performed via a femoral approach.
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The left internal carotid artery was occluded and stenosis of the right internal carotid artery was progressive. The patient had a history of renal cholesterol embolism associated with percutaneous peripheral intervention. Stenting of the right internal carotid artery was successfully performed via the right brachial artery, and cholesterol embolism was not noted after the procedure. 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subjects Aged
Angiography
brachial approach
carotid artery stenting
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - surgery
Carotid Stenosis - diagnostic imaging
Carotid Stenosis - surgery
cholesterol embolism
Embolism, Cholesterol - prevention & control
Endovascular Procedures - methods
Humans
Imaging, Three-Dimensional
Male
Stents
Tomography, X-Ray Computed
title Transbrachial Carotid Artery Stenting Can Prevent Renal Cholesterol Embolism
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