title: Symptomatic carotid stenosis in the setting of bilateral  disease and coexisting carotid body tumor: management  with a carotid stent and staged excision.
abstract: The aim of the paper is to describe the management of a patient with bilateral carotid artery stenosis, symptomatic on the left, with coexisting left carotid body tumor with left carotid stenting followed by right carotid endarterectomy and excision of carotid body tumor. A 60-year-old man with significant bilateral carotid stenosis was referred to us with symptomatic left carotid disease and concomitant left carotid body tumor. A Precise nitinol carotid stent (Cordis Endovascular, Miami Lakes, FL, USA) was placed in his left carotid artery followed by interval carotid endarterectomy on the right. Excision of the carotid body tumor was then performed. Carotid stenting is a treatment option in patients with carotid stenosis and coexisting carotid body tumor. To our knowledge, this is the first reported carotid stent for symptomatic carotid stenosis in a patient with a concomitant carotid body tumor.
authors.affiliation: Department of Surgery, Division of Vascular Surgery, St. Louis University Hospital, St. Louis, MO 63103, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Smeds
authors.forename: Donald
authors.initials: D
authors.lastname: Jacobs
mesh_terms: D017536:Carotid Artery, Common / Q000601:surgery; D002345:Carotid Body Tumor; D016893:Carotid Stenosis / Q000628:therapy; D016894:Endarterectomy, Carotid; D006801:Humans; D015607:Stents; D016896:Treatment Outcome