Old and New Techniques as a Safe Hybrid Approach for Carotid Tandem Lesions

Ann Vasc Surg. 2016 Apr:32:132.e9-12. doi: 10.1016/j.avsg.2015.11.006. Epub 2016 Jan 22.

Abstract

Background: Carotid revascularization is performed to prevent stroke. Carotid tandem lesions represent a challenge for treatment, and a hybrid approach may result effective.

Case report: A high-risk 65-year-old woman presented with a "tandem lesion" of left common and internal carotid artery. She was deemed unfit for "simple" standard carotid endarterectomy (CEA). A "single-step" safe hybrid procedure was scheduled for the patient. A "Cormier" carotid vein graft bypass with a retrograde stenting was performed under local anesthesia.

Conclusions: The "safe hybrid procedure" for tandem lesions of the common and internal carotid artery is effective and suitable in high-risk patients in a high-volume centers.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anesthesia, Local
  • Carotid Artery, Common / diagnostic imaging
  • Carotid Artery, Common / surgery*
  • Carotid Artery, Internal / diagnostic imaging
  • Carotid Artery, Internal / surgery*
  • Carotid Stenosis / diagnostic imaging
  • Carotid Stenosis / surgery
  • Carotid Stenosis / therapy*
  • Combined Modality Therapy
  • Computed Tomography Angiography
  • Endovascular Procedures / instrumentation*
  • Female
  • Humans
  • Stents*
  • Treatment Outcome
  • Vascular Grafting / methods*
  • Veins / surgery*