Retrograde supra-aortic stent placement combined with open carotid or subclavian artery revascularization

Nitin Garg, Gustavo S. Oderich, Audra A. Duncan, Gautam Agarwal, Manju Kalra, Peter Gloviczki, Thomas C. Bower

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Purpose: To review the outcomes of retrograde supra-aortic vessel stent (RSAS) placement combined with open carotid or subclavian artery revascularization. Methods: Retrospective review of all consecutive patients between 1995 and 2010, excluding transfemoral procedures or isolated retrograde stent placement. Results: There were 11 patients (9 females, mean age 65 years). Open revascularization included carotid endarterectomy in 6 patients, carotid-subclavian bypass in 3, and carotid-carotid bypass in 2 patients. There were no operative deaths or neurological events. All symptomatic patients improved. Over a mean follow-up of 24 months, One patient developed common carotid artery (CCA) in-stent dissection and symptomatic restenosis treated with subclavian-carotid bypass. Another 3 patients had asymptomatic restenosis of the carotid bifurcation but required no intervention. Conclusions: Retrograde stenting of the common carotid or innominate artery is a safe and effective method to provide inflow in selected patients with severe supra-aortic vessel disease who require concomitant open carotid or subclavian artery reconstructions.

Original languageEnglish (US)
Pages (from-to)527-535
Number of pages9
JournalVascular and Endovascular Surgery
Volume45
Issue number6
DOIs
StatePublished - Aug 1 2011

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Keywords

  • angioplasty
  • hybrid
  • open repair
  • retrograde
  • supra-aortic trunk vessels

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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