Carotid endarterectomy and simultaneous percutaneous transluminal angioplasty for tandem internal carotid stenoses.
We treated three patients with tandem internal carotid stenoses in single procedures including carotid endarterectomy (CEA) for the proximal stenosis and percutaneous transluminal angioplasty (PTA) for the distal stenosis. We devised a Y-shaped shunt tube for the CEA, through which a balloon catheter was introduced to perform PTA guided by mobile digital subtraction angiography. No cerebrovascular events occurred during follow-up. Our approach avoids the risk of a second procedure while effectively treating tandem stenoses.
Department of Neurological Surgery, Wakayama Medical College, Japan.
T
T
Terada
H
H
Yokote
Y
Y
Kinoshita
M
M
Tsuura
O
O
Masuo
K
K
Nakai
T
T
Itakura
D000368:Aged; D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D003131:Combined Modality Therapy; D016894:Endarterectomy, Carotid / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome