A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization

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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Bibliographic Details
Main Authors: Michael A. Corbin, BS, Fanny S. Alie-Cusson, MD, David J. Dexter, MD, Animesh Rathore, MD, Rasesh M. Shah, MD, Jean M. Panneton, MD
Format: Article
Language:English
Published: Elsevier 2021-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Carotid revascularization
Carotid stenting
Extracranial carotid artery aneurysm
Flow reversal
TCAR
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428721000113
Description
Summary: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.
ISSN:2468-4287

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