Abstract
Objective: We report a case of left common carotid artery stenting in which the guide sheath was held in place by a GooseNeck Snare inserted from the right brachial artery.
Case presentation: A 70-year-old man presented with transient right hemiparesis and symptomatic left common carotid artery stenosis. During carotid artery stenting, we were unable to insert the guide sheath into the distal site of the carotid artery because of the short distance between the origin of the carotid artery and the stenotic lesion. By holding the guide sheath in place using the GooseNeck Snare inserted from the right brachial artery, stenting was performed successfully.
Conclusion: Transbrachial GooseNeck Snare was useful for stabilization of the guide sheath during left common carotid artery stenting.