Percutaneous revascularization of coexisting severe carotid and coronary artery disease: a case report.
Following the NASCET and ACAS trials, the use of carotid endarterectomy for the treatment of carotid artery stenosis has become widespread. However, in high-risk patients, the perioperative morbidity and mortality have reached 18%. In such populations, a percutaneous approach including coronary angioplasty and stenting of the carotid lesion could be an option worth exploring. In this report we discuss a case that is representative of our experience with the simultaneous treatment of critical carotid and coronary stenosis. A 74-year-old patient with advanced coronary artery disease and severe bilateral carotid pathology was submitted to coronary angioplasty and stenting of the carotid lesions.
Cardaioli
P
P
Department of Interventional Cardiology, University of Padua Medical School, Italy. pcardaioli@yahoo.it
Giordan
M
M
Isabella
G
G
D000368:Aged; D002340:Carotid Artery Diseases / Q000150:complications* / Q000601:surgery*; D023921:Coronary Stenosis / Q000150:complications* / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000295:instrumentation; D006801:Humans; D008297:Male; D009204:Myocardial Revascularization / Q000295:instrumentation; D012720:Severity of Illness Index; D015607:Stents