Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch

Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch

Management of the symptomatic multiple stenosis of supra-aortic vessels (MSSVs) in a “bovine” aortic arch (BAA) configuration is infrequently reported. The optimal treatment choice remains debatable. A successful hybrid treatment for a proximal critical stenosis of the innominate and left common car...

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Main Authors: Alessandro Robaldo, Guido Carignano, Alberto Balderi, Claudio Novali
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2017/4239829
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spelling doaj-42f56dcdc81548b8b5c06ac3a4a3cc4e2020-11-24T22:22:17ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/42398294239829Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic ArchAlessandro Robaldo0Guido Carignano1Alberto Balderi2Claudio Novali3Vascular Surgery Unit, Santa Croce and Carle Hospital, Via Michele Coppino 26, 12100 Cuneo, ItalyVascular Surgery Unit, Santa Croce and Carle Hospital, Via Michele Coppino 26, 12100 Cuneo, ItalyDepartment of Radiology, Santa Croce and Carle Hospital, Via Michele Coppino 26, 12100 Cuneo, ItalyVascular Surgery Unit, Santa Croce and Carle Hospital, Via Michele Coppino 26, 12100 Cuneo, ItalyManagement of the symptomatic multiple stenosis of supra-aortic vessels (MSSVs) in a “bovine” aortic arch (BAA) configuration is infrequently reported. The optimal treatment choice remains debatable. A successful hybrid treatment for a proximal critical stenosis of the innominate and left common carotid artery was performed in a high-risk patient with a tandem symptomatic lesion in the right carotid bifurcation and a concentric vulnerable plaque in the bovine trunk. This case supports the feasibility, safety, and efficacy of a combined carotid bifurcation endarterectomy and retrograde kissing stenting of common carotid arteries with cerebral protection after evaluation of radiological, anatomical, and clinical parameters.http://dx.doi.org/10.1155/2017/4239829
collection DOAJ
language English
format Article
sources DOAJ
author Alessandro Robaldo
Guido Carignano
Alberto Balderi
Claudio Novali
spellingShingle Alessandro Robaldo
Guido Carignano
Alberto Balderi
Claudio Novali
Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch
Case Reports in Surgery
author_facet Alessandro Robaldo
Guido Carignano
Alberto Balderi
Claudio Novali
author_sort Alessandro Robaldo
title Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch
title_short Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch
title_full Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch
title_fullStr Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch
title_full_unstemmed Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch
title_sort synchronous carotid bifurcation endarterectomy and retrograde kissing stenting of the innominate and left common carotid artery in a patient with a bovine aortic arch
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6900
2090-6919
publishDate 2017-01-01
description Management of the symptomatic multiple stenosis of supra-aortic vessels (MSSVs) in a “bovine” aortic arch (BAA) configuration is infrequently reported. The optimal treatment choice remains debatable. A successful hybrid treatment for a proximal critical stenosis of the innominate and left common carotid artery was performed in a high-risk patient with a tandem symptomatic lesion in the right carotid bifurcation and a concentric vulnerable plaque in the bovine trunk. This case supports the feasibility, safety, and efficacy of a combined carotid bifurcation endarterectomy and retrograde kissing stenting of common carotid arteries with cerebral protection after evaluation of radiological, anatomical, and clinical parameters.
url http://dx.doi.org/10.1155/2017/4239829
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AT guidocarignano synchronouscarotidbifurcationendarterectomyandretrogradekissingstentingoftheinnominateandleftcommoncarotidarteryinapatientwithabovineaorticarch
AT albertobalderi synchronouscarotidbifurcationendarterectomyandretrogradekissingstentingoftheinnominateandleftcommoncarotidarteryinapatientwithabovineaorticarch
AT claudionovali synchronouscarotidbifurcationendarterectomyandretrogradekissingstentingoftheinnominateandleftcommoncarotidarteryinapatientwithabovineaorticarch
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