Carotid endarterectomy and simultaneous percutaneous transluminal angioplasty for tandem internal carotid stenoses

We treated three patients with tandem internal carotid stenoses in single procedures including carotid endarterectomy (CEA) for the proximal stenosis and percutaneous transluminal angioplasty (PTA) for the distal stenosis. We devised a Y-shaped shunt tube for the CEA, through which a balloon cathete...

Full description

Saved in:
Bibliographic Details
Published in:Neuroradiology 1998-06, Vol.40 (6), p.404-408
Main Authors: TERADA, T, YOKOTE, H, KINOSHITA, Y, TSUURA, M, MASUO, O, NAKAI, K, ITAKURA, T
Format: Article
Language:English
Subjects:
Aged
Angiography, Digital Subtraction
Angioplasty, Balloon - instrumentation
Biological and medical sciences
Carotid Artery, Internal - diagnostic imaging
Carotid Stenosis - diagnostic imaging
Carotid Stenosis - therapy
Combined Modality Therapy
Endarterectomy, Carotid - instrumentation
Female
Humans
Male
Medical sciences
Middle Aged
Neurology
Treatment Outcome
Vascular diseases and vascular malformations of the nervous system
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We treated three patients with tandem internal carotid stenoses in single procedures including carotid endarterectomy (CEA) for the proximal stenosis and percutaneous transluminal angioplasty (PTA) for the distal stenosis. We devised a Y-shaped shunt tube for the CEA, through which a balloon catheter was introduced to perform PTA guided by mobile digital subtraction angiography. No cerebrovascular events occurred during follow-up. Our approach avoids the risk of a second procedure while effectively treating tandem stenoses.
ISSN:0028-3940
1432-1920
DOI:10.1007/s002340050612