title: Hybrid approach in a difficult case of pseudoaneurysm of right common carotid artery.
abstract: We present the case of a 65-year-old gentleman, who presented with a symptomatic pseudoaneurysm of the right common carotid artery. Because of high surgical risk, endovascular approach was decided upon. However, taking hardware across the lesion via the aortic arch provided us with insurmountable difficulties. Therefore, a hybrid approach was resorted to, in which an arteriotomy was done in the carotid artery followed by direct implantation of the stent. We were thus able to create a favorable trade-off between the high surgical risk of a full surgical procedure and the peri-operative benefit of an endovascular approach.
authors.affiliation: Head of Academics & Senior Interventionist, Medica Institute of Cardiac Science, Medica Superspecialty Hospital, 127, Mukundapur, EM Bypass, Kolkata 700099, India. Electronic address: dilipcardio@gmail.com.
authors.forename: Dilip
authors.initials: D
authors.lastname: Kumar
authors.affiliation: Consultant Cardiologist & Interventionist, Medica Institute of Cardiac Science, Medica Superspecialty Hospital, 127, Mukundapur, EM Bypass, Kolkata 700099, India. Electronic address: scmdmed@gmail.com.
authors.forename: Saujatya
authors.initials: S
authors.lastname: Chakraborty
authors.affiliation: Director, Consultant Cardiologist & Senior Interventionist, Medica Institute of Cardiac Science, Medica Superspecialty Hospital, 127, Mukundapur, EM Bypass, Kolkata 700099, India. Electronic address: drsunip@yahoo.com.
authors.forename: Sunip
authors.initials: S
authors.lastname: Banerjee
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D017536:Carotid Artery, Common; D017023:Coronary Angiography; D004452:Echocardiography; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D015607:Stents; D018608:Ultrasonography, Doppler
keywords: Carotid; Hybrid approach; Intervention; Pseudoaneurysm