Limb shaking transient ischemic attack secondary to innominate artery stenosis

Dakota Gonring, BA; Jonathan Bartko, MD; Mohammad Rachad Wehbe, MD; Michael Stoner, MD; David Sandness, MD; Doran Mix, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2023)

Limb shaking transient ischemic attack secondary to innominate artery stenosis

Dakota Gonring, BA,
Jonathan Bartko, MD,
Mohammad Rachad Wehbe, MD,
Michael Stoner, MD,
David Sandness, MD,
Doran Mix, MD

Affiliations

Dakota Gonring, BA: Department of Surgery, University of Rochester School of Medicine and Dentistry, Rochester, NY
Jonathan Bartko, MD: Department of Surgery, Case Western Reserve University, Cleveland, OH
Mohammad Rachad Wehbe, MD: Department of Surgery, University of Rochester School of Medicine and Dentistry, Rochester, NY
Michael Stoner, MD: Department of Surgery, University of Rochester School of Medicine and Dentistry, Rochester, NY
David Sandness, MD: Department of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, NY
Doran Mix, MD: Department of Surgery, University of Rochester School of Medicine and Dentistry, Rochester, NY; Correspondence: Doran Mix, MD, Department of Surgery, University of Rochester School of Medicine and Dentistry, 601 Elmwood Ave, Rochester, NY 14642

Journal volume & issue: Vol. 9, no. 3
p. 101277

Abstract

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Limb shaking transient ischemic attack is a rare disease manifestation typically caused by carotid stenosis but rarely caused by flow-limiting lesions involving more proximal vasculature. We demonstrate a case of limb shaking transient ischemic attack secondary to innominate stenosis in a 69-year-old woman who presented after a left leg shaking spell that caused her to fall and fracture her ipsilateral tibia. She did not experience changes in mentation and did not show any evidence of a postictal period. After receiving a comprehensive workup, she successfully underwent revascularization with innominate artery stenting. Continuous retrograde aspiration with the Enroute system (Silk Road Medical) and carotid clamping were used for embolic protection.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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Abstract

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