A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization

被引:1
作者
Corbin, Michael A. [1 ]
Alie-Cusson, Fanny S. [1 ]
Dexter, David J. [1 ]
Rathore, Animesh [1 ]
Shah, Rasesh M. [1 ]
Panneton, Jean M. [1 ]
机构
[1] Eastern Virginia Med Sch, Div Vasc Surg, Norfolk, VA 23501 USA
来源
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2021年 / 7卷 / 02期
关键词
Carotid revascularization; Carotid stenting; Extracranial carotid artery aneurysm; Flow reversal; TCAR; MANAGEMENT;
D O I
10.1016/j.jvscit.2020.12.020
中图分类号
R61 [外科手术学];
学科分类号
摘要
We present the novel application of transcarotid artery revascularization (TCAR) in two high-risk patients with high-grade internal artery stenosis and concomitant atherosclerotic extracranial carotid artery aneurysms (ECAAs). ECAAs account for <1% of arterial aneurysms and are usually clinically silent at presentation. Historically, the treatment of ECAAs has been via open reconstruction or stent grafting. TCAR is an effective alternative for carotid revascularization in high-risk patients with high-grade carotid stenosis, but has not been widely used for aneurysmal management. We report two cases to describe our management of concomitant carotid stenoses and ECCA with TCAR.
引用
收藏
页码:249 / 252
页数:4
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