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- David E Allie, Chris J Hebert, Mitchell D Lirtzman, Charles H Wyatt, Mohamed H Khan, Muhammad A Khan, Peter S Fail, Gary A Chaisson, V Antoine Keller, Dennis A Vitrella, Sonja D Allie, Adam A Allie, Elena V Mitran, and Craig M Walker.
- Cardiovascular Institute of the South, Southwest Medical Center, Lafayette, Louisiana, USA.
- J. Endovasc. Ther. 2004 Jun 1; 11 (3): 258-62.
PurposeTo report the technique of carotid endarterectomy (CEA) combined with retrograde balloon angioplasty and stenting of proximal "tandem" lesions in the supra-aortic trunk.TechniqueIntraoperative techniques in 34 patients with 23 left common carotid artery (CCA) and 11 innominate artery lesions included general anesthesia, low-dose dextran, prosthetic patching, selective shunting, 8-F sheath entry into the native CCA before the CEA, manual CCA sizing, and balloon-expandable stent placement after predilation. The technique has a high procedural success rate (97%) and appears durable. Over a mean 34-month follow-up, 2 >70% ostial CCA restenoses were found at 24 months.ConclusionsIntraoperative innominate or left CCA balloon angioplasty/stenting combined with carotid endarterectomy is safe, effective, and durable.
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