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W. Darrin Clouse, MD, Emel A. Ergul, MS, Richard P

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Presentation on theme: "W. Darrin Clouse, MD, Emel A. Ergul, MS, Richard P"— Presentation transcript:

1 Retrograde stenting of proximal lesions with carotid endarterectomy increases risk 
W. Darrin Clouse, MD, Emel A. Ergul, MS, Richard P. Cambria, MD, David C. Brewster, MD, Christopher J. Kwolek, MD, Glenn M. LaMuraglia, MD, Virendra I. Patel, MD, MPH, Mark F. Conrad, MD, MMSc  Journal of Vascular Surgery  Volume 63, Issue 6, Pages (June 2016) DOI: /j.jvs Copyright © 2016 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Preoperative computed tomography angiography reconstruction shows complex, severe, eccentric, and calcified left common carotid artery (LCCA) stenosis and left internal carotid artery (LICA) stenosis. B, Retrograde carotid arteriogram after left carotid endarterectomy (CEA), with carotid clamping marking the severe, proximal stenosis. C, Positioning of stent across the LCCA stenosis before deployment. D, Completion retrograde arteriogram after placement of a 7-mm × 22-mm bare-metal balloon-expandable stent. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Dissection of the left common carotid artery (CCA) after initial predilation of proximal high-grade stenosis during endovascular intervention after carotid endarterectomy (CEA) has been accomplished. B, Completion retrograde arteriogram after 6-mm × 58-mm bare-metal balloon-expandable stent has been deployed in the origin and an 8-mm × 40-mm self-expanding stent placed in the CCA to fully treat the dissection. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Stroke-free survival actuarial estimate in the cohort of 23 patients undergoing carotid endarterectomy (CEA) with ipsilateral proximal endovascular (IPE) intervention was 80% at 3 years. B, Overall survival estimate in this cohort was 85% at 4 years. SE, Standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

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