2018 年 12 巻 1 号 p. 52-56
Purpose: We report a patient who underwent left carotid artery stenting (CAS) via the left brachial artery.
Case Presentation: The patient was a 71-year-old male with symptomatic stenosis of the left cervical internal carotid artery. He had undergone axillo-axillo bypass for occlusion of the right subclavian artery. He also had a history of arteriosclerosis obliterans of the bilateral lower limbs. A transbrachial approach was adopted. To increase the intensity of the flexible part of a Simmons-type guiding sheath, a guiding catheter was combined. The guiding sheath was guided/inserted into the left common carotid artery, and CAS was accomplished.
Conclusion: The combination of a Simmons-type guiding sheath and guiding catheter for increasing the intensity of the former’s flexible part was effective when inserting the guiding sheath into the left common carotid artery during left CAS via the left brachial artery.