Hsien-Li Kao. All roads lead to Rome -- Direct cervical carotid artery access in carotid artery intervention[J]. Journal of Geriatric Cardiology, 2007, 4(2): 115-116.
Citation: Hsien-Li Kao. All roads lead to Rome -- Direct cervical carotid artery access in carotid artery intervention[J]. Journal of Geriatric Cardiology, 2007, 4(2): 115-116.

All roads lead to Rome -- Direct cervical carotid artery access in carotid artery intervention

  • Carotid artery stenting (CAS) is an alternative treatment for patients with severe carotid artery stenosis, especially those with prohibitively high surgical risks. 1 The routine vascular access for CAS is the femoral route. Although the technical success rate reported in a large series have been relatively high, 2,3 difficulty in accessing the supraaortic vessels from the femoral approach still accounts for procedural failure in 2% to 7% of cases. 4 The reasons for this failure may be tortuosity and redundancy of the aortic arch, congenital anomalous or aberrant cephalad trunk configuration, or stenosis or occlusion in the abdominal aorta.
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