A case of brachiocephalic artery stenosis successfully treated by angioplasty with stent using direct puncture under common carotid artery surgical exposure: a technical note

Abstract

Objective: We report a case of brachiocephalic artery stenosis effectively treated using angioplasty with stent (stenting) by direct puncture of right common carotid artery (CCA).
Case presentation: Stenting was performed under general anesthesia for brachiocephalic artery stenosis. An 8-Fr sheath was inserted into the right CCA using a direct puncture. After a wire was crossed, stenotic lesion and occluded right CCA Express stent were deployed.
Conclusion: Stenting using direct puncture is a useful alternative for cases presenting with brachiocephalic artery stenosis.