Title
Endarterectomy combined with retrograde stenting for tandem lesions of the carotid artery
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Brussel ,
Subject
Human medicine
Source (journal)
Acta chirurgica Belgica. - Brussel, 1946 - 1996
Volume/pages
111(2011) :5 , p. 312-314
ISSN
0001-5458
ISI
000297003200009
Carrier
E
Target language
English (eng)
Affiliation
University of Antwerp
Abstract
Objectives : Due to its location in the chest wall, surgical treatment of lesions at the origin of the brachiocephalic trunk or common carotid artery (CCA) is unattractive. Complete endovascular treatment of lesions at the origin of the common carotid artery or brachiochephalic trunk combined with high-grade lesions at the carotid bifurcation carries a high risk for distal emboli before cerebral protection is installed. Therefore, the combination of open carotid endarterectomy with retrograde stenting of the proximal lesion through one stage is most attractive. Methods : Eleven patients were treated with a combined procedure for tandem lesions at the origin of the brachio cephalic trunk or common carotid artery (CCA) and the carotid bifurcation. Endpoint of this evaluation was the 30-day MACE (Major Adverse Cardiovascular Events). Results : All procedures were finished as planned and no conversion was necessary. Thirty-day mortality was 0%. One patient developed a restenosis after only 4 days for which he underwent a re-PTA procedure. The 30-day MACE was 0%. None of the patients needed additional treatment during follow-up (mean follow-up 33 months ; range : 11 to 60) although one patient developed a non-significant stenosis during follow-up. Conclusions : Combined treatment of tandem lesions of the carotid artery is safe and effective in the long-term.
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