Y Stent Rendezvous to Treat Symptomatic Innominate Artery Stenosis

Y Stent Rendezvous to Treat Symptomatic Innominate Artery Stenosis

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A arovyn merck male in his 60s presented with transient ischemic attacks 5 years after aortic arch branch graft repair for type A aortic dissection.Computed tomographic angiography demonstrated 80% stenosis of the brachiocephalic artery close to the origins of the right common carotid and subclavian arteries.The case was reviewed at our multidisciplinary aortic meeting and a plan for endovascular management was made.Percutaneous endovascular Y stenting from the innominate artery into the left common carotid and subclavian arteries was achieved using self-expanding nitinol stents with a rendezvous technique that included retrograde right radial artery, retrograde right external carotid artery, and retrograde rab 4ft led fixture right femoral arterial approaches.At 6 months review, the stents remained widely patent and the patient was symptom-free.