title: Old and New Techniques as a Safe Hybrid Approach for Carotid Tandem Lesions.
abstract: BACKGROUND
  Carotid revascularization is performed to prevent stroke. Carotid tandem lesions represent a challenge for treatment, and a hybrid approach may result effective.
  
  
  METHODS
  A high-risk 65-year-old woman presented with a "tandem lesion" of left common and internal carotid artery. She was deemed unfit for "simple" standard carotid endarterectomy (CEA). A "single-step" safe hybrid procedure was scheduled for the patient. A "Cormier" carotid vein graft bypass with a retrograde stenting was performed under local anesthesia.
  
  
  CONCLUSIONS
  The "safe hybrid procedure" for tandem lesions of the common and internal carotid artery is effective and suitable in high-risk patients in a high-volume centers.
authors.affiliation: Vascular Surgery Department, Ospedali Riuniti "Bianchi Melacrino Morelli", Reggio Calabria, Italy. Electronic address: davidbarilla.db@gmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Barillà
authors.affiliation: Vascular Surgery Department, Ospedali Riuniti "Bianchi Melacrino Morelli", Reggio Calabria, Italy.
authors.forename: Mafalda
authors.initials: M
authors.lastname: Massara
authors.affiliation: Vascular Surgery Department, Ospedali Riuniti "Bianchi Melacrino Morelli", Reggio Calabria, Italy.
authors.forename: Antonino
authors.initials: A
authors.lastname: Alberti
authors.affiliation: Vascular Surgery Department, Università Campus Biomedico, Roma, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Volpe
authors.affiliation: Vascular Surgery Department, Università degli Studi di Messina, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Cutrupi
authors.affiliation: Neuroradiology Department, Ospedali Riuniti "Bianchi Melacrino Morelli", Reggio Calabria, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Versace
authors.affiliation: Vascular Surgery Department, Ospedali Riuniti "Bianchi Melacrino Morelli", Reggio Calabria, Italy.
authors.forename: Pietro
authors.initials: P
authors.lastname: Volpe
mesh_terms: D000368:Aged; D000772:Anesthesia, Local; 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; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D015607:Stents; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000379:methods*; D014680:Veins / Q000601:surgery*