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 language | English (US) |
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Pages (from-to) | 527-535 |
Number of pages | 9 |
Journal | Vascular and Endovascular Surgery |
Volume | 45 |
Issue number | 6 |
DOIs | |
State | Published - Aug 2011 |
Keywords
- angioplasty
- hybrid
- open repair
- retrograde
- supra-aortic trunk vessels
ASJC Scopus subject areas
- Surgery
- Cardiology and Cardiovascular Medicine