Novel Use of the ENROUTE® Transcarotid Arterial Sheath for Antegrade Cerebral Perfusion During Retrograde Innominate Stenting

Abstract Femoral-carotid bypass has been described to preserve antegrade cerebral perfusion during aortic arch and great vessel interventions. We describe a novel use of the ENROUTE® transcarotid arterial sheath as the outflow component of a femoral-carotid shunt for maintenance of antegrade cerebral perfusion during a retrograde innominate stenting procedure. We discuss the unique advantages of this sheath for use in this application.