Journal of Neuroendovascular Therapy
Online ISSN : 2186-2494
Print ISSN : 1882-4072
ISSN-L : 1882-4072
Technical Notes
A Case of Carotid Artery Stenting through Surgical Exposure and Direct Puncture of the Femoral Artery with Severe Arteriosclerosis Obliterans: A Technical Note
Satoshi InoueAtsushi FujitaTakashi MizowakiSeisirou UruiEiji KuriharaEiji Kohmura
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2016 Volume 10 Issue 3 Pages 160-164


Objective: A case of carotid artery stent placement performed by exposing and directly puncturing the femoral artery through a small surgical incision is reported.Case Presentations: In this patient, who had undergone multiple bypass surgeries for arteriosclerosis obliterans of the bilateral lower extremities, the inguinal region was scarred and atrophied, and percutaneous puncturing of the femoral artery was difficult. In addition, the possible area of device insertion was limited to a short segment of the left femoral artery. Also, as stenting through the right brachial artery was difficult due to flexion contracture of the elbow as a sequela of cerebral infarction, stent placement was performed by surgically exposing and puncturing the femoral artery under local anesthesia.Conclusion: This stenting method was useful as it could be performed similarly to the usual percutaneous stenting procedure under local anesthesia with limited physical and psychological burden to the patient.

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© 2016 The Japanese Society for Neuroendovascular Therapy

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