A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization

Michael A Corbin; Fanny S Alie-Cusson; David J Dexter; Animesh Rathore; Rasesh M Shah; Jean M Panneton

doi:10.1016/j.jvscit.2020.12.020

A novel approach to high-grade carotid stenosis with concomitant extracranial carotid aneurysms using transcarotid artery revascularization

J Vasc Surg Cases Innov Tech. 2021 Feb 4;7(2):249-252. doi: 10.1016/j.jvscit.2020.12.020. eCollection 2021 Jun.

Authors

Michael A Corbin¹, Fanny S Alie-Cusson¹, David J Dexter¹, Animesh Rathore¹, Rasesh M Shah¹, Jean M Panneton¹

Affiliation

¹ Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, Va.

Abstract

We present the novel application of transcarotid artery revascularization (TCAR) in two high-risk patients with high-grade internal artery stenosis and concomitant atherosclerotic extracranial carotid artery aneurysms (ECAAs). ECAAs account for <1% of arterial aneurysms and are usually clinically silent at presentation. Historically, the treatment of ECAAs has been via open reconstruction or stent grafting. TCAR is an effective alternative for carotid revascularization in high-risk patients with high-grade carotid stenosis, but has not been widely used for aneurysmal management. We report two cases to describe our management of concomitant carotid stenoses and ECCA with TCAR.

Keywords: Carotid revascularization; Carotid stenting; Extracranial carotid artery aneurysm; Flow reversal; TCAR.

Publication types

Case Reports