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Soonchunhyang Med Sci > Volume 26(2); 2020 > Article
Soonchunhyang Medical Science 2020;26(2): 98-103. doi: https://doi.org/10.15746/sms.20.024
Transradial Carotid Artery Stenting in a Patient with Leriche Syndrome
Sung Ho Kim, Dong Gyu Yeo, Gwang Su Lee
Department of Neurosurgery, Soonchunhyang University Gumi Hospital, Gumi, Korea
Corresponding Author: Sung Ho Kim ,Tel: +82-54-468-9132, Fax: +82-54-468-9130, Email: 68512@schmc.ac.kr
Received: November 15, 2020;  Accepted: November 26, 2020.
ABSTRACT
We report a case of the transradial approach for carotid artery stenting (CAS) as a useful alternative to the traditional transfemoral approach when femoral access is not available. A 50-year-old male visited our emergency room with dysarthria and right-side weakness. Magnetic resonance imaging showed acute cerebral infarction on the left middle cerebral artery territory and carotid stenosis on both sides. CAS for each carotid stenosis was attempted by the usual femoral access, but there was no pulse on either side of the femoral artery, and computed tomography angiogram of the lower extremity revealed Leriche syndrome, which is an aortoiliac occlusive disease. So, we changed the access to the radial artery and was successfully performed.
Key words: Transradial approach; Carotid artery stenting; Aortoiliac occlusive disease
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