Limb shaking transient ischemic attack secondary to innominate artery stenosis

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

doi:10.1016/j.jvscit.2023.101277

Limb shaking transient ischemic attack secondary to innominate artery stenosis

J Vasc Surg Cases Innov Tech. 2023 Aug 2;9(3):101277. doi: 10.1016/j.jvscit.2023.101277. eCollection 2023 Sep.

Authors

Dakota Gonring¹, Jonathan Bartko², Mohammad Rachad Wehbe¹, Michael Stoner¹, David Sandness³, Doran Mix¹

Affiliations

¹ Department of Surgery, University of Rochester School of Medicine and Dentistry, Rochester, NY.
² Department of Surgery, Case Western Reserve University, Cleveland, OH.
³ Department of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, NY.

Abstract

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.

Keywords: Innominate artery stenosis; Innominate artery stenting; Limb shaking transient ischemic attack.

Publication types

Case Reports

Grants and funding

KL2 TR001999/TR/NCATS NIH HHS/United States