Synchronous Carotid Endarterectomy and Retrograde Endovascular Treatment of Brachiocephalic or Common Carotid Artery Stenosis

doi:10.1016/S1078-5884(03)00323-X

European Journal of Vascular and Endovascular Surgery

Volume 26, Issue 4, October 2003, Pages 392-395

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Abstract

Objectives. To retrospectively evaluate the safety and the long-term results of retrograde brachiocephalic and common carotid angioplasty and stenting (AS) performed for >70% stenosis synchronously with the carotid endarterectomy (CEA).

Patients. Sixteen patients operated between April 1999 and March 2002

Results. 14/16 procedures were successful. There was no neurological morbidity or mortality. Per-operative angiography showed the optimal stent positioning and patency of both proximal and distal arteries in all patients. In the follow-up, all patients showed patency of the treated vessels without restenosis and the absence of any cerebrovascular symptoms.

Conclusion. Intra-operative retrograde AS combined with CEA is an effective, safe and durable alternative to conventional surgery when a tandem significant proximal lesion is identified in a patient with an high grade carotid stenosis.

Keywords

Extracranial cerebrovascular disease

Brachiocephalic and carotid artery stenting

Carotid endarterectomy

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^{NO LABEL}: ^*Corresponding author. Dr Franco Grego, Division of Vascular Surgery, Department of Medical and Surgical Sciences, School of Medicine, University of Padova, Via Giustiniani, 2, Padova 35100, Italy; Email: [email protected]