Limb shaking transient ischemic attack secondary to innominate artery stenosis

• Published in: Journal of Vascular Surgery Cases and Innovative Techniques
• Main Authors: Dakota Gonring, BA, Jonathan Bartko, MD, Mohammad Rachad Wehbe, MD, Michael Stoner, MD, David Sandness, MD, Doran Mix, MD
• Format: Article
• Language: English
• Published: Elsevier 2023-09-01
• Subjects: Innominate artery stenosis; Innominate artery stenting; Limb shaking transient ischemic attack
• Online Access: http://www.sciencedirect.com/science/article/pii/S2468428723001867
• ISSN: 2468-4287

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.