A case of carotid stenting via the transbrachial approach in the bovine arch

Kazunori Akaji, Yoshio Tanizaki, Kenji Hiraga, Takenori Akiyama, Tomohisa Dembo

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


We report our experience in carotid stenting via the transbrachial approach in patients with anomalous origin of the left common carotid artery, the so-called bovine arch, in which both the right common carotid artery and the left common carotid artery arise from the brachiocephalic artery. Via percutaneous access to the right brachial artery, a 6Fr Shuttle sheath is advanced into the aortic arch to cannulate the left common carotid artery. A Guardwire distal-protection balloon is positioned within the left internal carotid artery distal to the stenosis. The lesion is dilated, followed by satisfactory deployment and dilation of a 6Fr Precise stent. Carotid stenting via the brachial artery in bovine arch appears feasible as an alternative to standard femoral access.

Original languageEnglish
Pages (from-to)319-323
Number of pages5
JournalNeurological Surgery
Issue number3
Publication statusPublished - 2006 Mar
Externally publishedYes


  • Bovine arch
  • Carotid stenting
  • Precise stent
  • Shuttle sheath
  • Transbrachial approach

ASJC Scopus subject areas

  • General Medicine


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