Cerebral Protection with a Temporary Ascending Aorta–External Carotid Artery Bypass during Common Carotid Artery Revascularization

Atherosclerosis is a systemic disease, and multiarterial involvement is common. Involvement of all the supra-aortic arteries may occur in the same patient making cerebral revascularization challenging. In this report, we present complete supra-aortic revascularization, that is, revascularization of...

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Veröffentlicht in:Annals of vascular surgery 2018-01, Vol.46, p.368.e13-368.e17
Hauptverfasser: Ugurlucan, Murat, Onal, Yilmaz, Oztas, Didem Melis, Canbay, Cagla, Demir, Ibrahim, Sayin, Omer Ali, Kilickesmez, Ozgur, Cakir, Mehmet Semih, Aydin, Kubilay, Alpagut, Ufuk
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Sprache:eng
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Zusammenfassung:Atherosclerosis is a systemic disease, and multiarterial involvement is common. Involvement of all the supra-aortic arteries may occur in the same patient making cerebral revascularization challenging. In this report, we present complete supra-aortic revascularization, that is, revascularization of the bilateral common carotid and subclavian arteries in a 51-year-old male patient with occluded brachiocephalic trunk, left subclavian artery, and proximally stenotic left common carotid artery. A temporary ascending aorta to left external carotid artery bypass provided meticulous cerebral protection with pulsatile cerebral flow in the presence of a proximal arterial clamp; hence, a neurologically uneventful procedure during bilateral common carotid artery revascularization.
ISSN:0890-5096
1615-5947
DOI:10.1016/j.avsg.2017.08.026