دورية أكاديمية

Intraoperative innominate and common carotid intervention combined with carotid endarterectomy: a "true" endovascular surgical approach.

التفاصيل البيبلوغرافية
العنوان: Intraoperative innominate and common carotid intervention combined with carotid endarterectomy: a "true" endovascular surgical approach.
المؤلفون: Allie, David E., Hebert, Chris J., Lirtzman, Mitchell D., Wyatt, Charles H., Khan, Mohamed H., Khan, Muhammad A., Fail, Peter S., Chaisson, Gary A., Keller, V. Antoine, Vitrella, Dennis A., Allie, Sonja D., Allie, Adam A., Mitran, Elena V., Walker, Craig M.
المصدر: Journal of Endovascular Therapy; Jun2004, Vol. 11 Issue 3, p258-262, 5p, 1 Color Photograph, 1 Black and White Photograph
مصطلحات موضوعية: CAROTID artery diseases, CAROTID artery surgery, ENDARTERECTOMY, TRANSLUMINAL angioplasty, SURGICAL stents
مستخلص: Purpose: To report the technique of carotid endarterectomy (CEA) combined with retrograde balloon angioplasty and stenting of proximal "tandem" lesions in the supra-aortic trunk. Technique: Intraoperative 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. Conclusions: Intraoperative innominate or left CCA balloon angioplasty/stenting combined with carotid endarterectomy is safe, effective, and durable. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:15266028
DOI:10.1583/03-1119.1