László Pintér, MD, Catherine Cagiannos, MD, Chris N

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Presentation transcript:

Hybrid treatment of common carotid artery occlusion with ring-stripper endarterectomy plus stenting László Pintér, MD, Catherine Cagiannos, MD, Chris N. Bakoyiannis, MD, Ralf Kolvenbach, MD, PhD Journal of Vascular Surgery Volume 46, Issue 1, Pages 135-139 (July 2007) DOI: 10.1016/j.jvs.2007.01.062 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 A, Preoperative arteriogram of the brachiocephalic trunk and its branches shows the patent nipple at the origin of the right common carotid artery (CCA) (white arrow), the collaterals between the superior and inferior thyroid arteries (thick black arrow), and the patent but stenotic right carotid bifurcation (thin black arrow). B, Retrograde thromboendarterectomy of the right CCA with a ring-stripper under fluoroscopic guidance. Note the tip of the vertebral catheter in the nipple at the origin of the right CCA (white arrow) and the ring-stripper introduced retrograde through the neck incision (black asterisk). Journal of Vascular Surgery 2007 46, 135-139DOI: (10.1016/j.jvs.2007.01.062) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 Completion angiogram shows the stented segment at the origin of the common carotid artery (area between the thin arrows) and the site of the patch angioplasty at the carotid bifurcation (thick arrow). Journal of Vascular Surgery 2007 46, 135-139DOI: (10.1016/j.jvs.2007.01.062) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 A computed tomography angiogram performed 1 year postoperatively shows patent stent in right common carotid artery (thick white arrow) and patent carotid bifurcation (thin white arrow). Journal of Vascular Surgery 2007 46, 135-139DOI: (10.1016/j.jvs.2007.01.062) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions