title: Carotid artery stenting using a transapical approach for the treatment of radiation-induced carotid stenosis.
abstract: Radiation-induced stenosis of the carotid artery is considered a challenging entity for direct revascularization. We performed a carotid artery stenting for a radiation-induced stenosis using a transapical approach on an asymptomatic 63-year-old male patient. Transapical approach, which is often used for cardiac surgery, was not yet described for the endovascular treatment of carotid stenosis. The transapical approach could be an attractive alternative path for patients presenting significant supra-aortic trunks lesions and unfit for direct approach or peripheral access. This case reports the feasibility and the safety of carotid artery stenting using the transapical approach in well-trained teams.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University Hospital of Tours, Tours, France. Electronic address: r.martinez@chu-tours.fr.
authors.forename: Robert
authors.initials: R
authors.lastname: Martinez
authors.affiliation: Department of Vascular Surgery, University Hospital of Angers, Angers, France.
authors.forename: Tchala
authors.initials: T
authors.lastname: Kassegne
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University Hospital of Tours, Tours, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Lhommet
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University Hospital of Tours, Tours, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Mirza
authors.affiliation: Department of Anesthesiology, University Hospital of Tours, Tours, France.
authors.forename: Marc Antoine
authors.initials: MA
authors.lastname: May
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University Hospital of Tours, Tours, France.
authors.forename: Blandine
authors.initials: B
authors.lastname: Maurel
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University Hospital of Tours, Tours, France.
authors.forename: Etienne
authors.initials: E
authors.lastname: Marchand
authors.affiliation: Department of Vascular Surgery, University Hospital of Angers, Angers, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Enon
mesh_terms: D002339:Carotid Arteries / Q000528:radiation effects*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000532:radiotherapy*; D008297:Male; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed; D014139:Tracheostomy