ENDOVASCULAR - Carotid & Neurovascular Intervention
Kissing “Y” Stents to Exclude a Large Right Common Carotid Artery Aneurysm in a Case of Takayasu Arteritis
Gopal Ghosh1, George Joseph2
Rabindra Nath Thakur Diagnostic and Medical Care Center, India1, Christian Medical College, India2,
An 11-year-old girl from Bangladesh developed pulsatile swelling over the right side of the neck and right upper limb claudication for one year. She was evaluated and found to have absent right upper limb pulses along with elevated ESR and CRP levels. Arterial Doppler study showed aneurysmal dilatation of right common carotid artery from its origin and occluded right subclavian artery. She was been referred to Christian Medical College, Vellore, India for further management.
Aortic Arch angiogram,
LAO 45 View: Aneurysmal dilatation of the right common carotid artery starting from the origin with a maximum diameter of 23mm. The right subclavian artery is diffusely narrowed from its origin and occluded after the origin of the right vertebral artery.
RAO 30: Normal Innominate artery size with a diameter of 9mm.
Reformation of right axillary artery noted on delayed images and it was free of disease.
Coronary arteries, renal arteries were normal. Video1.avi Video2.avi Video3.avi
Kissing “Y” stents have been used to treat aorto-iliac and coronary bifurcation lesions.
When stenosis or the aneurysm is very close to the RSA and/or CCA ostium, it's an attractive and effective option.
The type and size of stents should be chosen carefully based on anatomy.
Self-expanding stents are preferable.