Mayank Patel1, Joe Iwananga2, Josh Bentley3, Bill H Wang3, Akil Patel3, R Shane Tubbs4, Steve Monteith3. 1. Seattle Science Foundation, Seattle, Washington, USA. Electronic address: mayankp@icloud.com. 2. Seattle Science Foundation, Seattle, Washington, USA. 3. Swedish Neuroscience Institute, Seattle, Washington, USA. 4. Seattle Science Foundation, Seattle, Washington, USA; Department of Anatomical Sciences, St. George's University, Grenada, West Indies.
Abstract
BACKGROUND: Asymptomatic double aortic arches are a unique occurrence. CASE DESCRIPTION: An incidental finding of a double aortic arch in an elderly male was discovered during workup of a transient ischemic attack. The following case presentation details an effective treatment approach in cerebrovascular stenting in a patient with variant aortic arch anatomy. The initial diagnostic cerebral angiogram was performed via transfemoral approach and was quite challenging. CONCLUSIONS: Faced with challenging anatomy, the radial artery approach is a viable option when navigating into the cerebrovascular anatomy for stenting when proximal variants such as a double aortic arch are identified.
BACKGROUND: Asymptomatic double aortic arches are a unique occurrence. CASE DESCRIPTION: An incidental finding of a double aortic arch in an elderly male was discovered during workup of a transient ischemic attack. The following case presentation details an effective treatment approach in cerebrovascular stenting in a patient with variant aortic arch anatomy. The initial diagnostic cerebral angiogram was performed via transfemoral approach and was quite challenging. CONCLUSIONS: Faced with challenging anatomy, the radial artery approach is a viable option when navigating into the cerebrovascular anatomy for stenting when proximal variants such as a double aortic arch are identified.