title: Simultaneous stenting of the left main coronary stem and internal carotid artery in a hemodynamically unstable patient.
abstract: BACKGROUND
  Combined endovascular interventions on carotid and coronary arteries are rare. Stenting of the unprotected coronary left main stem is a high risk procedure. We presented hemodynamically unstable patient with combined carotid artery and left main stem coronary artery stenting.
  
  
  METHODS
  A 78-year-old female patient was admitted to our institution for right carotid endaterectomy. The patient had 80% stenosis of the right carotid artery and occlusion of the left carotid artery. Coronary angiography revealed 70% ostial left main stenosis, occlusion of the right coronary artery and the left circumflex artery, and 80% stenosis of the left anterior descending artery. Simultaneous carotid artery endaterectomy and coronary artery by-pass grafting were considered. Due to high perioperative risk, surgery was rejected, and the patient was treated endovascularly with stenting of arteries occluded. The procedure was completed without complications and the patient was hemodynamically stabilised.
  
  
  CONCLUSIONS
  This report illustrates simultaneous coronary and carotid stenting as a successfull lifesaving procedure.
authors: Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
authors: Dragan
authors: D
authors: Sagić
authors: Zelimir
authors: Z
authors: Antonić
authors: Milan M
authors: MM
authors: Stanisić
authors: Nenad
authors: N
authors: Ilijevski
authors: Predrag
authors: P
authors: Milojević
authors: Dragan
authors: D
authors: Masulović
authors: Djordje
authors: D
authors: Radak
mesh_terms: D000368:Aged; D002343:Carotid Artery, Internal / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications / Q000601:surgery*; D023921:Coronary Stenosis / Q000150:complications / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D015607:Stents