A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization
We present the novel application of transcarotid artery revascularization (TCAR) in two high-risk patients with high-grade internal artery stenosis and concomitant atherosclerotic extracranial carotid artery aneurysms (ECAAs). ECAAs account for <1% of arterial aneurysms and are usually clinically...
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2021-06-01
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doaj-895afe49e5f34b42b51fd834ee654b932021-06-25T04:49:57ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872021-06-0172249252A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularizationMichael A. Corbin, BS0Fanny S. Alie-Cusson, MD1David J. Dexter, MD2Animesh Rathore, MD3Rasesh M. Shah, MD4Jean M. Panneton, MD5Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VaDivision of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VaDivision of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VaDivision of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VaDivision of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VaCorrespondence: Jean M. Panneton, MD, Division of Vascular Surgery, Eastern Virginia Medical School, Sentara Heart Hospital, 600 Gresham Dr, Ste 8620, Norfolk, VA 23507; Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VaWe present the novel application of transcarotid artery revascularization (TCAR) in two high-risk patients with high-grade internal artery stenosis and concomitant atherosclerotic extracranial carotid artery aneurysms (ECAAs). ECAAs account for <1% of arterial aneurysms and are usually clinically silent at presentation. Historically, the treatment of ECAAs has been via open reconstruction or stent grafting. TCAR is an effective alternative for carotid revascularization in high-risk patients with high-grade carotid stenosis, but has not been widely used for aneurysmal management. We report two cases to describe our management of concomitant carotid stenoses and ECCA with TCAR.http://www.sciencedirect.com/science/article/pii/S2468428721000113Carotid revascularizationCarotid stentingExtracranial carotid artery aneurysmFlow reversalTCAR |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Michael A. Corbin, BS Fanny S. Alie-Cusson, MD David J. Dexter, MD Animesh Rathore, MD Rasesh M. Shah, MD Jean M. Panneton, MD |
spellingShingle |
Michael A. Corbin, BS Fanny S. Alie-Cusson, MD David J. Dexter, MD Animesh Rathore, MD Rasesh M. Shah, MD Jean M. Panneton, MD A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization Journal of Vascular Surgery Cases and Innovative Techniques Carotid revascularization Carotid stenting Extracranial carotid artery aneurysm Flow reversal TCAR |
author_facet |
Michael A. Corbin, BS Fanny S. Alie-Cusson, MD David J. Dexter, MD Animesh Rathore, MD Rasesh M. Shah, MD Jean M. Panneton, MD |
author_sort |
Michael A. Corbin, BS |
title |
A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization |
title_short |
A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization |
title_full |
A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization |
title_fullStr |
A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization |
title_full_unstemmed |
A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization |
title_sort |
novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization |
publisher |
Elsevier |
series |
Journal of Vascular Surgery Cases and Innovative Techniques |
issn |
2468-4287 |
publishDate |
2021-06-01 |
description |
We present the novel application of transcarotid artery revascularization (TCAR) in two high-risk patients with high-grade internal artery stenosis and concomitant atherosclerotic extracranial carotid artery aneurysms (ECAAs). ECAAs account for <1% of arterial aneurysms and are usually clinically silent at presentation. Historically, the treatment of ECAAs has been via open reconstruction or stent grafting. TCAR is an effective alternative for carotid revascularization in high-risk patients with high-grade carotid stenosis, but has not been widely used for aneurysmal management. We report two cases to describe our management of concomitant carotid stenoses and ECCA with TCAR. |
topic |
Carotid revascularization Carotid stenting Extracranial carotid artery aneurysm Flow reversal TCAR |
url |
http://www.sciencedirect.com/science/article/pii/S2468428721000113 |
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