PMC6376523_01
Echo-Doppler examination showing: (A) reversal flow in the right vertebral artery (B) recovery of normal flow after intervention.
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Echo-Doppler examination showed retrograde right vertebral artery flow with a "post-stenotic pattern" flow in the ipsilateral subclavian and carotid arteries (Figure 1A).
Computed tomography examination showing: (A) critical calcified plaque of Innominate artery; (B) patency of the Innominate artery after stenting.
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To deepen this finding, the patient underwent computed tomography that revealed critical calcified stenosis (90%) of innominate artery (Figure 2A).
Angiography showing: (A) critical calcified plaque of Innominate artery; (B) patency of the Innominate artery after stenting.
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Dual injection confirmed the presence of a critical calcified stenosis (99%) at the proximal trait of innominate artery (Figure 3A).