Hybrid repair of tandem high-grade innominate and carotid artery stenosis in an asymptomatic male

Sebastian Cifuentes; Nolan C. Cirillo-Penn; Matthew D. Breite; Todd E. Rasmussen

doi:10.1016/j.jvscit.2024.101487

Hybrid repair of tandem high-grade innominate and carotid artery stenosis in an asymptomatic male

Sebastian Cifuentes^*, Nolan C. Cirillo-Penn, Matthew D. Breite, Todd E. Rasmussen

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Tandem atherosclerotic lesions of the innominate artery (IA) and internal carotid artery (ICA) are challenging and represent an inherent risk of cerebrovascular accident. Treating asymptomatic patients is controversial; therefore, it is critical to minimize the risk of a cerebrovascular accident if repair is undertaken. An asymptomatic 78-year-old man with a chronically occluded left ICA and tandem stenoses of the IA and right ICA underwent a hybrid intervention with stenting of the IA lesion and right ICA endarterectomy. The intra- and postoperative course was successful, without any signs of neurological sequelae. Sixteen months later, the patient remained asymptomatic, with patent reconstructions.

Original language	English
Article number	101487
Journal	Journal of Vascular Surgery Cases and Innovative Techniques
Volume	10
Issue number	3
DOIs	https://doi.org/10.1016/j.jvscit.2024.101487
State	Published - Jun 2024
Externally published	Yes

Keywords

Carotid endarterectomy
Endovascular repair
High-grade carotid stenosis
Neurologic protection
Supra-aortic occlusive disease

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10.1016/j.jvscit.2024.101487

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title = "Hybrid repair of tandem high-grade innominate and carotid artery stenosis in an asymptomatic male",

abstract = "Tandem atherosclerotic lesions of the innominate artery (IA) and internal carotid artery (ICA) are challenging and represent an inherent risk of cerebrovascular accident. Treating asymptomatic patients is controversial; therefore, it is critical to minimize the risk of a cerebrovascular accident if repair is undertaken. An asymptomatic 78-year-old man with a chronically occluded left ICA and tandem stenoses of the IA and right ICA underwent a hybrid intervention with stenting of the IA lesion and right ICA endarterectomy. The intra- and postoperative course was successful, without any signs of neurological sequelae. Sixteen months later, the patient remained asymptomatic, with patent reconstructions.",

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AU - Cifuentes, Sebastian

AU - Cirillo-Penn, Nolan C.

AU - Breite, Matthew D.

AU - Rasmussen, Todd E.

PY - 2024/6

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N2 - Tandem atherosclerotic lesions of the innominate artery (IA) and internal carotid artery (ICA) are challenging and represent an inherent risk of cerebrovascular accident. Treating asymptomatic patients is controversial; therefore, it is critical to minimize the risk of a cerebrovascular accident if repair is undertaken. An asymptomatic 78-year-old man with a chronically occluded left ICA and tandem stenoses of the IA and right ICA underwent a hybrid intervention with stenting of the IA lesion and right ICA endarterectomy. The intra- and postoperative course was successful, without any signs of neurological sequelae. Sixteen months later, the patient remained asymptomatic, with patent reconstructions.

AB - Tandem atherosclerotic lesions of the innominate artery (IA) and internal carotid artery (ICA) are challenging and represent an inherent risk of cerebrovascular accident. Treating asymptomatic patients is controversial; therefore, it is critical to minimize the risk of a cerebrovascular accident if repair is undertaken. An asymptomatic 78-year-old man with a chronically occluded left ICA and tandem stenoses of the IA and right ICA underwent a hybrid intervention with stenting of the IA lesion and right ICA endarterectomy. The intra- and postoperative course was successful, without any signs of neurological sequelae. Sixteen months later, the patient remained asymptomatic, with patent reconstructions.

KW - Carotid endarterectomy

KW - Endovascular repair

KW - High-grade carotid stenosis

KW - Neurologic protection

KW - Supra-aortic occlusive disease

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Hybrid repair of tandem high-grade innominate and carotid artery stenosis in an asymptomatic male

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Keywords

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