Multiple Stenting for Extended Right Carotid Artery Dissection from Aortic Dissection via the Right Brachial Artery Approach: A Case Report

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Objective: We report a patient with symptomatic right carotid artery dissection due to extension from aortic dissection who underwent stenting via the right brachial artery approach.

Case: A 61-year-old male underwent emergency operation for Stanford A type aortic dissection, but developed cerebral infarction due to extension of the dissection to the right carotid artery after the operation, and underwent stenting via the right brachial artery approach for the prevention of recurrence. A 6-Fr Simmons type Axcelguide was inserted, and stenting was performed with two Carotid Wallstents in conjunction with the Filterwire EZ. He showed a favorable postoperative course and was discharged home.

Conclusion: When extension of dissection to the right subclavian artery is absent, stenting using the right radial artery approach should be considered as a safe procedure.