title: Synchronous endovascular treatment for serial tandem proximal common carotid artery and internal carotid lesions.
abstract: OBJECTIVE
  To report simultaneous endovascular repair of tandem proximal common carotid artery and internal carotid artery in a patient with complex post-radiotherapy lesions.
  
  
  METHODS
  A 67-year-old woman with a medical history of cervical and thoracic radiotherapy and claudication, was admitted with the diagnosis of critical inferior limb ischaemia (stage III-Fontaine) and two recents episodes of amaurosis fugax of the left eye. Duplex Scan and M.R. Angiography revealed high grade stenosis of the proximal left common and internal carotid artery and a complete bilateral iliac artery occlusion. A synchronous ante- and retro-grade carotid endovascular treatment was performed in the first stage of the treatment, allowed by an open minimal cervical access under cerebral filter protection (Angio-Guard system, Cordis corp.). The post-operative period was uneventful. The patient underwent a succesful aortobifemoral reconstruction soon afterwards. At 26 months, the patient was asymptomatic. Duplex Scan confirmed a good patency of the carotid stents with normal cerebral CT Scan.
  
  
  CONCLUSIONS
  Serial common and internal carotid lesions appear amenable to concomitant ante- and retro-grade endovascular repair in selected patients.
authors.affiliation: Department of Vascular Surgery, Princesse Paola Hospital, Marche-en-Famenne, Belgium. v.alex@skynet.be
authors.forename: V
authors.initials: V
authors.lastname: Alexandrescu
authors.forename: P
authors.initials: P
authors.lastname: Bergeron
authors.forename: Ch
authors.initials: Ch
authors.lastname: Ngongang
authors.forename: J
authors.initials: J
authors.lastname: Proumen
mesh_terms: D000368:Aged; D000792:Angiography; D017130:Angioplasty; D001167:Arteritis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D050197:Atherosclerosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D011878:Radiotherapy / Q000009:adverse effects; D015607:Stents