title: Hybrid procedures for the treatment of multi-focal ipsilateral internal carotid and proximal common carotid or innominate artery lesions.
abstract: We report three cases with concomitant ipsilateral proximal common carotid and internal carotid artery stenosis treated in one stage with carotid endarterectomy and retrograde primary stenting of the common carotid artery. The internal carotid artery was clamped during stenting to avoid cerebral embolization. All procedures were successfully completed and all patients remain asymptomatic at 18 months follow up. The one-stage hybrid approach appears to be a safe and effective procedure for the treatment of ipsilateral multifocal significant lesions.
authors.affiliation: Department of Vascular Surgery University Hospital of Larissa, University of Thessaly Medical School, Larissa, Greece.
authors.forename: C
authors.initials: C
authors.lastname: Karathanos
authors.forename: G S
authors.initials: GS
authors.lastname: Sfyroeras
authors.forename: K
authors.initials: K
authors.lastname: Stamoulis
authors.forename: A
authors.initials: A
authors.lastname: Drakou
authors.forename: G
authors.initials: G
authors.lastname: Vretzakis
authors.forename: A D
authors.initials: AD
authors.lastname: Giannoukas
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000601:surgery*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D003131:Combined Modality Therapy; D016894:Endarterectomy, Carotid; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome