The use of curved sheath technique to facilitate difficult internal carotid artery occlusions

Nitish Mittal BS, Sanjana Rao BS, Mohammad M Ansari MD

ABSTRACT

Carotid artery occlusive disease or carotid artery stenosis, a widely prevalent disease, involves blockage of the arterial wall from atherosclerotic plaques. Due to the high prevalence of carotid artery stenosis, innovative approaches to improve outcomes are needed, particularly for more difficult and unusual cases. In this report, we present a particularly difficult case with a Type III aortic arch–right internal carotid artery stenosis. We describe a symptomatic 87-year-old man who presented to the cardiology clinic for evaluation. Computed tomography angiogram showed a 70% occlusion of the right internal carotid artery; the patient was considered high risk for carotid artery surgery. He underwent internal carotid artery stenting using the curved sheath technique with excellent results. This case demonstrates the importance of innovative new techniques in the development of medical treatment.

Keywords: Carotid artery stenting, curved sheath technique, type 3 aortic arch, right internal carotid artery stenosis

Article citation: Mittal N, Sanjana Rao S, Ansari MM. The use of curved sheath technique to facilitate difficult internal carotid artery occlusions. The Southwest Respiratory and Critical Care Chronicles 2021;9(37):74–77
From: Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas
Submitted: 12/16/2021
Accepted: 1/9/2021
Reviewer: Ankush Lahoti MD
Conflicts of interest: none
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