Left carotid artery stenting via transbrachial artery approach by using coaxial system with ASAHI FUBUKI Dilator 6Fr and ENVOY Simmons 6Fr

Abstract

Objective: We describe two cases of left carotid artery stenting (CAS) via transbrachial artery approach by using coaxial system with an ASAHI FUBUKI Dilator 6Fr and an ENVOY Simmons 6Fr.
Case presentation: Two patients with symptomatic left carotid stenosis were treated with CAS via the transbrachial artery approach. By using coaxial system with an ASAHI FUBUKI Dilator 6Fr 80 cm and an ENVOY Simmons 6Fr 100 cm, an ENVOY Simmons 6Fr was placed into the left common carotid artery (CCA). Next, after a 0.035-inch halfstiff type guidewire was navigated into external carotid artery, an ASAHI FUBUKI Dilator 6Fr alone was advanced into the left CCA. CAS was performed by using distal filter protection method. There was no residual stenosis of the lesion after CAS.
Conclusion: A navigation of guiding sheath by using coaxial system with an ASAHI FUBUKI Dilator 6Fr and an ENVOY Simmons 6Fr was effective in left CAS via transbrachial artery approach.