Technical report: Combined carotid bifurcation endarterectomy and intra-operative transluminal angioplasty of a proximal common carotid artery stenosis: an alternative to extrathoracic bypass

A method of management of a dual stenoses affecting the proximal common carotid artery and the internal carotid artery, the tandem lesion, is described in two cases. The combination of a surgical endarterectomy of the internal carotid artery narrowing and percutaneous balloon dilatation of the more...

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Bibliographic Details
Published in:Clinical radiology 1998-06, Vol.53 (6), p.444-447
Main Authors: Sidhu, P.S., Morgan, M.B.F., Walters, H.L., Baskerville, P.A., Fraser, S.C.A.
Format: Article
Language:English
Subjects:
Aged
Angioplasty, Balloon
Biological and medical sciences
Carotid Artery, Common - diagnostic imaging
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - surgery
Carotid Stenosis - diagnostic imaging
Carotid Stenosis - surgery
Carotid Stenosis - therapy
Combined Modality Therapy
Endarterectomy, Carotid - methods
Female
Humans
Male
Medical sciences
Radiography
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Summary:A method of management of a dual stenoses affecting the proximal common carotid artery and the internal carotid artery, the tandem lesion, is described in two cases. The combination of a surgical endarterectomy of the internal carotid artery narrowing and percutaneous balloon dilatation of the more proximal common carotid artery narrowing, via the arteriotomy site, with clamping of the internal carotid artery was successfully employed to avoid an extrathoracic bypass procedure.
ISSN:0009-9260
1365-229X
DOI:10.1016/S0009-9260(98)80274-2