F Grego1, P Frigatti, S Lepidi, S Bonvini, P Amista, G P Deriu. 1. Division of Vascular Surgery, Department of Medical and Surgical Sciences, School of Medicine, University of Padova, Via Giustiniani, 2, Padova 35100, Italy.
Abstract
OBJECTIVES: To retrospectively evaluate the safety and the long-term results of retrograde brachiocephalic and common carotid angioplasty and stenting (AS) performed for >70% stenosis synchronously with the carotid endarterectomy (CEA). PATIENTS: Sixteen patients operated between April 1999 and March 2002. RESULTS: 14/16 procedures were successful. There was no neurological morbidity or mortality. Per-operative angiography showed the optimal stent positioning and patency of both proximal and distal arteries in all patients. In the follow-up, all patients showed patency of the treated vessels without restenosis and the absence of any cerebrovascular symptoms. CONCLUSION: Intra-operative retrograde AS combined with CEA is an effective, safe and durable alternative to conventional surgery when a tandem significant proximal lesion is identified in a patient with an high grade carotid stenosis.
OBJECTIVES: To retrospectively evaluate the safety and the long-term results of retrograde brachiocephalic and common carotid angioplasty and stenting (AS) performed for >70% stenosis synchronously with the carotid endarterectomy (CEA). PATIENTS: Sixteen patients operated between April 1999 and March 2002. RESULTS: 14/16 procedures were successful. There was no neurological morbidity or mortality. Per-operative angiography showed the optimal stent positioning and patency of both proximal and distal arteries in all patients. In the follow-up, all patients showed patency of the treated vessels without restenosis and the absence of any cerebrovascular symptoms. CONCLUSION: Intra-operative retrograde AS combined with CEA is an effective, safe and durable alternative to conventional surgery when a tandem significant proximal lesion is identified in a patient with an high grade carotid stenosis.
Authors: P Mordasini; J Gralla; D-D Do; J Schmidli; B Keserü; M Arnold; U Fischer; G Schroth; C Brekenfeld Journal: AJNR Am J Neuroradiol Date: 2011-08-18 Impact factor: 3.825
Authors: Andrew A Fanous; Parham Yashar; Ashish Sonig; Amanda Zakeri; Kenneth V Snyder; Elad I Levy; Jason M Davies; Adnan H Siddiqui Journal: J Vasc Interv Neurol Date: 2017-10