Abstract
Objective: In this report, we present a case of carotid artery stenting (CAS) by direct puncture of the common carotid artery through a small skin incision.
Case presentation: An 83-year-old man suffering from recurrent transient dysarthria and right hemiparesis was referred to our hospital. Diffusion-weighted images showed multiple small cortical infarctions in the left cerebral hemisphere. 3D CT angiograms revealed severe stenosis at the origin of the left internal carotid artery. CAS was planned because it is less invasive for the patient. Direct puncture of the left common carotid artery was preferred in this case due to severe atherosclerosis of the aorta. We exposed the left common carotid artery by making a small skin incision. Arterial puncture was performed and homeostasis was achieved easily and safely through this skin incision.
Conclusion: CAS using direct puncture of the carotid through a small skin incision may be safer than direct percutaneous carotid puncture.
