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Novel Application of Transcarotid Artery Stenting With Dynamic Flow Reversal for Treatment of Symptomatic Tandem Carotid Artery Lesions Via an Ascending Aorta to Common Carotid Artery Bypass Graft.
- Source :
-
Vascular & Endovascular Surgery . Nov2019, Vol. 53 Issue 8, p665-669. 5p. - Publication Year :
- 2019
-
Abstract
- The treatment of patients with symptomatic tandem lesions of their carotid artery is challenging. One solution is carotid endarterectomy with retrograde ipsilateral proximal endovascular intervention, but it is associated with a higher postoperative risk of stroke. Unfortunately, symptomatic patients with tandem lesions often present with stenotic, calcified supra-aortic arch vessels and require multiple modalities to adequately revascularize including staged approaches or hybrid procedures. Herein, we report the successful treatment of a symptomatic 76-year-old female with a calcific severe stenosis of her innominate artery treated by a prosthetic bypass graft from her ascending aorta to proximal common carotid artery, interval ligation, and use of TransCarotid artery revascularization with reverse-flow to treat her proximal internal carotid artery stenosis via this bypass graft. [ABSTRACT FROM AUTHOR]
- Subjects :
- *AORTA surgery
*CAROTID artery surgery
*BLOOD circulation
*ENDOVASCULAR surgery
*CARDIOVASCULAR surgery
*ENDOSCOPIC surgery
*LIGATURE (Surgery)
*SURGICAL stents
*TRANSPLANTATION of organs, tissues, etc.
*TREATMENT effectiveness
*SEVERITY of illness index
*BRACHIOCEPHALIC trunk
*CAROTID endarterectomy
STROKE risk factors
CAROTID artery stenosis
Subjects
Details
- Language :
- English
- ISSN :
- 15385744
- Volume :
- 53
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Vascular & Endovascular Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 138497723
- Full Text :
- https://doi.org/10.1177/1538574419869569