Hybrid Treatment of Symptomatic Chronic Isolated Carotid Bifurcation

作者:Marino Mario; Kasemi Holta*; Di Angelo Costantino Luca; Fadda Gian Franco
来源:Annals of Vascular Surgery, 2014, 28(7): 1795.e7.
DOI:10.1016/j.avsg.2014.04.011

摘要

Total chronic occlusion of the common carotid artery with patent internal and external carotid arteries can induce cerebral embolism and hypoperfusion. We report a hybrid approach that was used to treat 2 patients presented with symptomatic chronic occlusion of the common carotid artery and ipsilateral internal carotid stenosis. Antegrade recanalization and retrograde stenting of the common carotid artery was performed in both patients associated to carotid bulb endarterectomy. Fresh thrombus observed in the distal common carotid stump was responsible for the embolic cerebral lesions and patients' previous symptoms. Patients remain asymptomatic at the 23rd- and 18th-month follow-up, respectively.

  • 出版日期2014-10