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CASE REPORT
Year : 2019  |  Volume : 9  |  Issue : 1  |  Page : 47-49

Trans-femoral-brachial (combined) approach for the percutaneous angioplasty of eccentric stenosis and unfavorable takeoff origin of the right brachiocephalic artery – “Entry from the back door”


Department of Cardiology, Yashoda Hospitals, Hyderabad, Telangana, India

Correspondence Address:
Dr. Pankaj Jariwala
Yashoda Hospitals, Somajiguda, Hyderabad - 500 082, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JICC.JICC_2_19

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Right brachiocephalic stenoses are usually discrete short-segment lesions, but sometimes, they are the most difficult to intervene for certain reasons. Their takeoff from the arch of the aorta and eccentricity of the stenotic lesion may pose problems while intervention. Furthermore, there is an controversy for the use of distal protection device during angioplasty. There are many methods described for its interventions, but transbrachial access is easier to tackle difficulties those may arise with transfemoral approach. We describe a case of right brachiocephalic high-grade stenosis, which was difficult to access by transfemoral approach, but transbrachial access solved our problem, and we could deploy the stent across the lesion with ease.


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