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  • Title: Carotid stenting with distal-balloon protection via the transbrachial approach.
    Author: Al-Mubarak N, Vitek JJ, Iyer SS, New G, Roubin GS.
    Journal: J Endovasc Ther; 2001 Dec; 8(6):571-5. PubMed ID: 11797970.
    Abstract:
    PURPOSE: To document the feasibility of brachial artery access for carotid stenting with distal-balloon protection of the internal carotid artery (ICA). TECHNIQUE: Via percutaneous access to the brachial artery, a large double-curve catheter is advanced into the aortic arch over a hydrophilic guidewire to cannulate the left common carotid artery. Following sheath exchange, a GuardWire distal-protection balloon is positioned within the left ICA distal to the stenosis. The lesion is dilated, followed by deployment and dilation of a self-expanding stent. Transcranial Doppler monitoring shows only scarce microembolic signals during the procedure. CONCLUSIONS: Carotid stenting with distal balloon protection via the brachial artery appears feasible as an alternative to standard femoral access.
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