Use of a Dual-Filter Embolic Protection Device for Brachiocephalic Artery Stenting

Awail Sadiq; Andrew M Goldsweig; Edward L O'Leary

doi:10.1016/j.avsg.2019.10.065

Use of a Dual-Filter Embolic Protection Device for Brachiocephalic Artery Stenting

Ann Vasc Surg. 2020 May:65:282.e13-282.e15. doi: 10.1016/j.avsg.2019.10.065. Epub 2019 Oct 31.

Authors

Awail Sadiq¹, Andrew M Goldsweig¹, Edward L O'Leary²

Affiliations

¹ Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE.
² Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE. Electronic address: eoleary@unmc.edu.

PMID: 31676379
DOI: 10.1016/j.avsg.2019.10.065

Abstract

A 77-year-old female with peripheral artery disease underwent brachiocephalic artery stenting for right upper extremity claudication. Given a very high atherosclerotic burden seen on CT, a dual-filter embolic protection device (Sentinel, Boston Scientific) was deployed from the right radial artery to protect the right common carotid and subclavian arteries, and therefore the vertebral artery, during the stenting procedure. This case report demonstrates a novel use of this dual-filter device to provide both carotid and vertebral artery embolic protection during brachiocephalic artery intervention.

Publication types

Case Reports

MeSH terms

Aged
Brachiocephalic Trunk* / diagnostic imaging
Brachiocephalic Trunk* / physiopathology
Constriction, Pathologic
Embolic Protection Devices*
Embolism / etiology
Embolism / prevention & control*
Endovascular Procedures / adverse effects
Endovascular Procedures / instrumentation*
Female
Humans
Intermittent Claudication / diagnostic imaging
Intermittent Claudication / physiopathology
Intermittent Claudication / therapy*
Peripheral Arterial Disease / diagnostic imaging
Peripheral Arterial Disease / physiopathology
Peripheral Arterial Disease / therapy*
Stents*
Treatment Outcome
Upper Extremity / blood supply*
Vascular Patency