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.
Similar content being viewed by others
References
Hadjipetrou P, Cox S, Piemonte T, et al. (1999) Percutaneous revascularization of atherosclerotic obstruction of aortic arch vessels. J Am Coll Cardiol 33:1238–1245
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 27:616–623
Rodriguez-Lopez JA, Werner A, Martinez R, et al. (1999) Stenting for atherosclerotic occlusive disease of the subclavian artery. Ann Vasc Surg 13:254–260
Queral LA, Criado FJ (1996) The treatment of focal aortic arch branch lesions with Palmaz stents. J Vasc Surg 23:368–375
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 28:1059–1065
Peterson BG, Resnick SA, Morasch MD, et al. (2006) Aortic arch vessel stenting. Arch Surg 141:560–564
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 31:128–132
Bergeron P, Becquemin JP, Jausseran JM, et al. (1999) Percutaneous stenting of the internal carotid artery: The European CAST I study. J Endovasc Surg 6:155–159
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
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 15:521–527
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 13:413–417
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 11:258–262
Criado FJ, Wellons E, Clark NS (1997) Evolving indications for early results of carotid artery stenting. Am J Surg 174:111–114
Chio FL, Liu MW, Khan MA, et al. (2003) Effectiveness of elective stenting of common carotid artery lesions in preventing stroke. Am J Cardiol 92:1135–1137
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 29:958–968
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 485–486
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Medda, M., Lioupis, C., Mollichelli, N. et al. Stent-Graft Treatment of Late Stenosis of the Left Common Carotid Artery Following Thoracic Graft Placement. Cardiovasc Intervent Radiol 31, 386–390 (2008). https://doi.org/10.1007/s00270-007-9085-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-007-9085-7