Direct Common Carotid Artery Puncture for Endovascular Treatment of Acute Large Vessel Ischemic Stroke in a Patient With Congenital Rare Variant of the Great Vessels

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dc.contributor.authorPlant, Samuelen
dc.contributor.authorPatel, Biraj M.en
dc.contributor.departmentVirginia Tech Carilion School of Medicineen
dc.date.accessioned2020-12-04T14:23:48Zen
dc.date.available2020-12-04T14:23:48Zen
dc.date.issued2020-10-24en
dc.description.abstractThis report describes a case of acute left middle cerebral artery ischemic stroke that occurred in a patient with unique anatomy of the vessels arising from the aortic arch that remained undiagnosed until the age of 36. The nature of the anatomical variance proved problematic in establishing access to the carotid artery via traditional transfemoral or transbrachial approaches, and direct access was established via left carotid puncture. The patient regained substantial neurologic function. The direct carotid approach described below serves as a viable alternate route to establishing reperfusion in patients with complex or problematic aortic arch anatomy.en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.7759/cureus.11127en
dc.identifier.eissn2168-8184en
dc.identifier.issue10en
dc.identifier.othere11127en
dc.identifier.pmid33240720en
dc.identifier.urihttp://hdl.handle.net/10919/101011en
dc.identifier.volume12en
dc.language.isoenen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectischemic strokeen
dc.subjectinterventional neuroradiologyen
dc.subjectmechanical embolectomyen
dc.subjectdirect carotid artery punctureen
dc.subjectaortic archen
dc.subjectrare varianten
dc.titleDirect Common Carotid Artery Puncture for Endovascular Treatment of Acute Large Vessel Ischemic Stroke in a Patient With Congenital Rare Variant of the Great Vesselsen
dc.title.serialCureusen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.dcmitypeStillImageen

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