title: Hybrid treatment of symptomatic chronic isolated carotid bifurcation.
abstract: Total chronic occlusion of the common carotid artery with patent internal and external carotid arteries can induce cerebral embolism and hypoperfusion. We report a hybrid approach that was used to treat 2 patients presented with symptomatic chronic occlusion of the common carotid artery and ipsilateral internal carotid stenosis. Antegrade recanalization and retrograde stenting of the common carotid artery was performed in both patients associated to carotid bulb endarterectomy. Fresh thrombus observed in the distal common carotid stump was responsible for the embolic cerebral lesions and patients' previous symptoms. Patients remain asymptomatic at the 23rd- and 18th-month follow-up, respectively.
authors.affiliation: Vascular Surgery Unit, Department of Surgery, "San Francesco" Hospital, Nuoro, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Marino
authors.affiliation: Vascular Surgery Unit, Department of Surgery, "San Francesco" Hospital, Nuoro, Italy; Vascular Surgery Unit, Department "Paride Stefanini", Policlinico Umberto I, Sapienza University of Rome, Rome, Italy. Electronic address: kasemiholta@libero.it.
authors.forename: Holta
authors.initials: H
authors.lastname: Kasemi
authors.affiliation: Vascular Surgery Unit, Department of Surgery, "San Francesco" Hospital, Nuoro, Italy.
authors.forename: Costantino Luca
authors.initials: CL
authors.lastname: Di Angelo
authors.affiliation: Vascular Surgery Unit, Department of Surgery, "San Francesco" Hospital, Nuoro, Italy.
authors.forename: Gian Franco
authors.initials: GF
authors.lastname: Fadda
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D016893:Carotid Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002908:Chronic Disease; D003952:Diagnostic Imaging; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology; D015607:Stents
chemical_list: D000925:Anticoagulants