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  • Carotid artery direct access for intracranial stenting of a stroke patient with an aberrant left common carotid artery and right aorta

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Carotid artery direct access for intracranial stenting of a stroke patient with an aberrant left common carotid artery and right aorta
  1. Weilun Fu1,
  2. Xinke Liu2,
  3. Bo Yang3,
  4. Zhaoyang Yan4,
  5. Baixue Jia1,
  6. Ying He5,
  7. Ning Ma1
  1. 1 Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
  2. 2 Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
  3. 3 Department of Neurology, Beijing Jiangong Hospital, Beijing, China
  4. 4 Department of Neurology, Weihai Municipal Hospital, Shandong, China
  5. 5 Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
  1. Correspondence to Dr Ning Ma; maning_03{at}hotmail.com

Abstract

A right aortic arch is present in 0.1% of the population and can occur in isolation or be associated with congenital heart disease.1 Moreover, the most common form of right aortic arch in adults is associated with an aberrant left subclavian artery.1 An aberrant left common carotid artery that originated from the ascending aorta with the right aorta is very rare. In this situation, carotid direct access was considered to avoid access challenge due to a large curve from the ascending aorta to the left common carotid artery.2 3 Here we demonstrate carotid artery direct access for intracranial stenting of a stroke patient with aberrant left common carotid artery and right aorta. Manual compression with a long time under general anesthesia to avoid post-procedural puncture site hematoma is recommended (video 1).

Video 1  Carotid artery direct access
  • Technique
  • Stenosis
  • Stroke
  • Stent
  • Cervical
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/jnis-2023-020535

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    Footnotes

    • Contributors Planning: NM. Conception and design: WF and NM. Acquisition of data: WF, XL, BY, ZY, BJ and YH. Interpretation of data: WF and NM. Final approval: all authors.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.