Key result
Carotid artery stenting via a transradial approach was successfully performed in a 68-year-old male with symptomatic internal carotid artery near-occlusion stenosis, resulting in normal flow and no neurological complications.
Why the study?
Carotid near-occlusion stenosis is easily misdiagnosed as conventional high-degree stenosis, carries different stroke risk, and such patients are often excluded from randomized controlled trials.
Case Report (n=1)
Carotid artery stenting via a transradial approach can be successfully and safely performed in patients with symptomatic internal carotid artery near-occlusion stenosis.
Supports transradial feasibility for carotid stenting in near-occlusion; extends access options pending larger RCTs.
Carotid near-occlusion stenosis is distal luminal collapse of the internal carotid artery beyond a tight stenosis. In everyday practice, it is easily misdiagnosed as a conventional high degree stenosis. Because of the different stroke risk, proper differentiation of these two types of lesions is important for the correct treatment decision. Recent data showed no advantage of best medical therapy versus surgical endarterectomy or carotid artery stenting.We report a case of carotid artery stenting of symptomatic ICANO stenosis without full collapse, via transradial approach, in the presence of contralateral ICA (Internal Carotid Artery) “critical” stenosis.This case provides additional data about optimal treatment of these patients, who are often excluded from randomized control trials (RCT’s), but frequently encountered in the cardiovascular practice.
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Bushljetikj et al. (2021) conducted a case report in Symptomatic internal carotid artery near-occlusion (ICANO) stenosis (n=1). Carotid artery stenting (CAS) via transradial approach was evaluated on Procedural success and clinical outcome. Carotid artery stenting via a transradial approach was successfully performed in a 68-year-old male with symptomatic internal carotid artery near-occlusion stenosis, resulting in normal flow and no neurological complications.
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