Transcervical Carotid Stent Placement in the Setting of a Hostile Neck and a Type III Aortic Arch

Lauren A. Huntress, Naiem Nassiri, Randy Shafritz, Saum Rahimi

Research output: Contribution to journalArticlepeer-review

Abstract

Previous radical neck dissection and neck irradiation pose considerable operative risks in patients requiring carotid endarterectomy for symptomatic carotid disease. Carotid stenting is an acceptable alternative for these patients but carries a higher risk of cerebrovascular accidents especially in patients with type III aortic arch anatomy. Herein, we present a technically challenging case of a patient with an irradiated neck and a history of radical neck dissection who presented with a symptomatic high-grade left internal carotid artery stenosis in the setting of a type III aortic arch. He was treated via a hybrid approach for carotid artery stenting.

Original languageEnglish (US)
Pages (from-to)346-349
Number of pages4
JournalVascular and Endovascular Surgery
Volume51
Issue number5
DOIs
StatePublished - Jul 1 2017

All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine

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