Peripheral artery disease involving the innominate artery is infrequent, but can result in a myriad of symptoms including right arm claudication, subclavian steal syndrome, and/or posterior fossa/hemispheric cerebral events. Due to the involvement of the right common carotid artery, careful attention is needed to prevent embolic events, and embolic protection devices should be considered. Furthermore, due to the close take-off of the left common carotid artery in proximity to the innominate artery, careful placement of the aorto-ostial stent is required.
All authors: Eric Secemsky, MD, MSc, FSCAI and Andrew J. Klein, MD, FSCAI.
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