title: How to Clamp and Bypass if There Is Single Artery Supply to the Head and That Contains Severe Stenosis?
abstract: Takayasu arteritis manifests with arterial occlusions and aneurysms. Revascularization is sometimes challenging, especially when carotid arteries are affected. In this report, we present a carotid artery revascularization technique in a patient who was admitted with orthostatic and postprandial transient ischemic attacks, resulting in a diagnosis of bilaterally occluded subclavian and vertebral arteries, occluded left common carotid artery, and severely stenosed right common carotid artery. Clamping of the right carotid artery was a challenge; however, our technique provides a neurologically safe revascularization.
authors.affiliation: Department of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey. Electronic address: muratugurlucan@yahoo.com.
authors.forename: Murat
authors.initials: M
authors.lastname: Ugurlucan
authors.affiliation: Department of Radiology, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.
authors.forename: Yilmaz
authors.initials: Y
authors.lastname: Onal
authors.affiliation: Department of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.
authors.forename: Didem Melis
authors.initials: DM
authors.lastname: Oztas
authors.affiliation: Department of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.
authors.forename: Omer Ali
authors.initials: OA
authors.lastname: Sayin
authors.affiliation: Department of Radiology, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.
authors.forename: Kubilay
authors.initials: K
authors.lastname: Aydin
authors.affiliation: Department of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.
authors.forename: Ufuk
authors.initials: U
authors.lastname: Alpagut
mesh_terms: D000328:Adult; D017536:Carotid Artery, Common; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002548:Cerebral Revascularization / Q000379:methods*; D005260:Female; D006801:Humans; D013625:Takayasu Arteritis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*