Endovascular treatment of carotid stump syndrome

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Presentation transcript:

Endovascular treatment of carotid stump syndrome A.Ross Naylor, MD, FRCS, Peter R.F Bell, MD, FRCS, Amman Bolia, MBChB, FRCR Journal of Vascular Surgery Volume 38, Issue 3, Pages 593-595 (September 2003) DOI: 10.1016/S0741-5214(03)00352-5

Fig 1 Intra-arterial digital subtraction angiogram of left carotid circulation. Internal carotid artery is occluded, but a residual stump (black arrow) is present. The distal internal carotid artery, however, fills via branches of the left external carotid artery through reversed flow in the ophthalmic artery (white arrow). Journal of Vascular Surgery 2003 38, 593-595DOI: (10.1016/S0741-5214(03)00352-5)

Fig 2 Intra-arterial digital subtraction angiogram of carotid bifurcation after endovascular exclusion of the stump. An 8 mm × 5 cm wall graft was positioned from the common carotid artery into the external carotid artery (black arrow). The stent tapered naturally to fit comfortably, with no evidence of any contrast material leakage into the stump. The “ghost” of the excluded internal carotid artery stump is just visible (white arrow). Journal of Vascular Surgery 2003 38, 593-595DOI: (10.1016/S0741-5214(03)00352-5)