title: Stent-graft treatment of late stenosis of the left common carotid artery following thoracic graft placement.
abstract: We report the case of a patient with subtotal occlusion of the origin of the left common carotid artery (CCA) following thoracic graft placement. Retrograde endovascular placement of a stent-graft by minimal cervical access was undertaken to repair the occlusive lesion of the left CCA and prevent future complications of endoluminal thoracic reconstruction. The retrograde endovascular repair of CCA lesions, as other authors have already suggested, may be the treatment of choice in "high-surgical-risk" patients. In these cases where the ostium of supra-aortic trunks is compromised following thoracic aorta stent-graft migration, endoluminal placement of a stent-graft in the CCA can guarantee both maintenance of carotid flow and thoracic stent-graft fixation.
authors.affiliation: Department of Cardiovascular Radiology, Policlinico San Donato, Milan, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Medda
authors.forename: Christos
authors.initials: C
authors.lastname: Lioupis
authors.forename: Nadia
authors.initials: N
authors.lastname: Mollichelli
authors.forename: Cecilia
authors.initials: C
authors.lastname: Fantoni
authors.forename: Luigi
authors.initials: L
authors.lastname: Inglese
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D016893:Carotid Stenosis / Q000209:etiology / Q000628:therapy*; D003287:Contrast Media; D006801:Humans; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media