Transvenous treatment of carotid aneurysms through transseptal access.

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Transvenous treatment of carotid aneurysms through transseptal access.

World Neurosurg. 2019 Jan 17;:

Authors: Orlov K, Arat A, Osiev A, Berestov V, Aytemir K, Topcuoglu MA, Arsava EM

Abstract
Transseptal puncture has been widely used by cardiologists to reach the left side of the heart through a transvenous access. Rarely, it can also be used to pass into the supraaortic arteries from the venous side when conventional transarterial access pathways (transfemoral, transradial/brachial routes or direct carotid puncture) are likely to fail. We report two cases of transvenous femoral access followed by transseptal access to aorta to treat dissecting carotid artery aneurysms at the level of the skull base with flow diverters. In one case, multiple cervical arterial bypass operations and in the other, a rare anomaly of the aortic arch precluded endovascular treatment through conventional routes. Transvenous-transseptal access enabled treatment of both cases easily and without complications. On follow-up CT angiogram both flow diverters were patent, there were no residual aneurysms and no neurologic or cardiac adverse events in both patients.

PMID: 30660893 [PubMed - as supplied by publisher]

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