Top

CardioVascular and Interventional Radiology

Published in:

01-03-2008 | Case Report

Stent-Graft Treatment of Late Stenosis of the Left Common Carotid Artery Following Thoracic Graft Placement

Authors: Massimo Medda, Christos Lioupis, Nadia Mollichelli, Cecilia Fantoni, Luigi Inglese

Published in: CardioVascular and Interventional Radiology | Issue 2/2008

Abstract

We report the case of a patient with subtotal occlusion of the origin of the left common carotid artery (CCA) following thoracic graft placement. Retrograde endovascular placement of a stent-graft by minimal cervical access was undertaken to repair the occlusive lesion of the left CCA and prevent future complications of endoluminal thoracic reconstruction. The retrograde endovascular repair of CCA lesions, as other authors have already suggested, may be the treatment of choice in “high-surgical-risk” patients. In these cases where the ostium of supra-aortic trunks is compromised following thoracic aorta stent-graft migration, endoluminal placement of a stent-graft in the CCA can guarantee both maintenance of carotid flow and thoracic stent-graft fixation.

Hadjipetrou P, Cox S, Piemonte T, et al. (1999) Percutaneous revascularization of atherosclerotic obstruction of aortic arch vessels. J Am Coll Cardiol 33:1238–1245PubMedCrossRef

Broutzos EN, Petersen B, Binkert C, et al. (2004) Primary stenting of subclavian and innominate artery occlusive disease: A single center’s experience. Cardiovasc Intervent Radiol 27:616–623CrossRef

Rodriguez-Lopez JA, Werner A, Martinez R, et al. (1999) Stenting for atherosclerotic occlusive disease of the subclavian artery. Ann Vasc Surg 13:254–260PubMedCrossRef

Queral LA, Criado FJ (1996) The treatment of focal aortic arch branch lesions with Palmaz stents. J Vasc Surg 23:368–375PubMedCrossRef

Sullivan TM, Gray BH, Bacharach M, et al. (1998) Angioplasty and primary stenting of the subclavian, innominate and common carotid arteries in 83 patients. J Vasc Surg 28:1059–1065PubMedCrossRef

Peterson BG, Resnick SA, Morasch MD, et al. (2006) Aortic arch vessel stenting. Arch Surg 141:560–564PubMedCrossRef

Henderson RD, Eliasziw M, Fox AJ, et al. (2000) Angiographically defined collateral circulation and risk of stroke in patients with severe carotid artery stenosis. Stroke 31:128–132PubMed

Bergeron P, Becquemin JP, Jausseran JM, et al. (1999) Percutaneous stenting of the internal carotid artery: The European CAST I study. J Endovasc Surg 6:155–159PubMedCrossRef

Bergeron P, Chambran P, Hartung O, et al. (1996) Cervical carotid artery stenosis: Which technique, balloon angioplasty or surgery? J Cardiovasc Surg 37(Suppl 1):73–75

10.

Levien LJ, Benn CA, Veller MG, et al. (1998) Retrograde balloon angioplasty of brachiocephalic or common carotid artery stenoses at the time of carotid endarterectomy. Eur J Vasc Endovasc Surg 15:521–527PubMedCrossRef

11.

Stecker MS, Lalka SG, Agarwal DM, et al. (2002) Stent placement in common carotid and internal carotid artery stenosis with use of an open transcervical approach in a patient with previous endarterectomy. J Vasc Interv Radiol 13:413–417PubMedCrossRef

12.

Allie DE, Hebert CJ, Lirtzman MD, et al. (2004) Intraoperative innominate and common carotid intervention combined with carotid endarterectomy: A true endovascular surgical approach. J Endovasc Ther 11:258–262PubMedCrossRef

13.

Criado FJ, Wellons E, Clark NS (1997) Evolving indications for early results of carotid artery stenting. Am J Surg 174:111–114PubMedCrossRef

14.

Chio FL, Liu MW, Khan MA, et al. (2003) Effectiveness of elective stenting of common carotid artery lesions in preventing stroke. Am J Cardiol 92:1135–1137PubMedCrossRef

15.

Maras D, Lioupis C, Magoufis G, et al. (2006) Covered stent-graft treatment of traumatic internal carotid artery pseudo-aneurysms: A review. Cardiovasc Intervent Radiol 29:958–968PubMedCrossRef

16.

Cothren CC, Moore EE, Ray CE Jr, et al. (2005) Carotid artery stents for blunt cerebrovascular injury: Risks exceed benefits. Arch Surg 140:480-485; discussion 485–486PubMedCrossRef

Title: Stent-Graft Treatment of Late Stenosis of the Left Common Carotid Artery Following Thoracic Graft Placement
Authors: Massimo Medda
Christos Lioupis
Nadia Mollichelli
Cecilia Fantoni
Luigi Inglese
Publication date: 01-03-2008
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 2/2008
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-007-9085-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Stent-Graft Treatment of Late Stenosis of the Left Common Carotid Artery Following Thoracic Graft Placement

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2008

Pneumoperitoneum Following Percutaneous Biliary Intervention: Not Necessarily a Cause for Alarm

Use of Retrievable Compared to Permanent Inferior Vena Cava Filters: A Single-Institution Experience

The Amplatzer Vascular Plug Also for Ovarian Vein Embolization

Hepatic Arterial Embolization and Chemoembolization in the Management of Patients with Large-Volume Liver Metastases

The Need for Anticoagulation Following Inferior Vena Cava Filter Placement: Systematic Review

Coil Protruding into the Common Femoral Vein Following Pelvic Venous Embolization