Brachial artery approach for transluminal angioplasty of the internal carotid artery

Cathet Cardiovasc Diagn. 1996 Dec;39(4):421-3. doi: 10.1002/(SICI)1097-0304(199612)39:4<421::AID-CCD22>3.0.CO;2-E.


One possible problem in internal carotid angioplasty is inaccessibility of the lesion due to elongation of the aortic arch, the brachiocephalic trunk, or the carotid artery itself. A new approach to performing angioplasty of the right or left internal carotid artery utilizing the brachial artery was used after failure of the transfemoral approach in 5 lesions (4 patients). The common carotid artery was cannulated with performed 5F catheters. Angioplasty was performed with a conventional balloon dilatation catheter. If required, a Wall stent was implanted to optimize the angiographic result. After failure of the conventional transfemoral technique, the brachial technique permitted successful angioplasty of the ipsilateral internal carotid artery in 4 lesions and the contralateral internal carotid artery in 1 lesion. In 1 patient, a stent was implanted. No complications occurred. The mean stenosis diameter decreased from 77.8 +/- 6.3% to 17.8 +/- 9.1%. Doppler sonography performed 4-6 months later showed no restenosis. The brachial artery approach seems to be a suitable alternative to the femoral technique.

MeSH terms

  • Aged
  • Angioplasty, Balloon / instrumentation
  • Angioplasty, Balloon / methods*
  • Brachial Artery*
  • Carotid Artery, Internal / diagnostic imaging
  • Carotid Stenosis / diagnostic imaging
  • Carotid Stenosis / therapy*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Radiography
  • Ultrasonography, Doppler