Carotid endarterectomy and simultaneous percutaneous transluminal angioplasty for tandem internal carotid stenoses |
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| Authors: | T Terada H Yokote Y Kinoshita M Tsuura O Masuo K Nakai T Itakura |
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| Institution: | (1) Department of Neurological Surgery, Wakayama Medical College, 7 ban-cho 27, Wakayama City, 640 Japan Tel.: + 81-7 34-26-82 77 Fax: + 81-7 34-33-59 98, JP |
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| Abstract: | We treated three patients with tandem internal carotid stenoses in single procedures including carotid endarterectomy (CEA)
for the proximal stenosis and percutaneous transluminal angioplasty (PTA) for the distal stenosis. We devised a Y-shaped shunt
tube for the CEA, through which a balloon catheter was introduced to perform PTA guided by mobile digital subtraction angiography.
No cerebrovascular events occurred during follow-up. Our approach avoids the risk of a second procedure while effectively
treating tandem stenoses.
Received: 20 August 1997 Accepted: 5 November 1997 |
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| Keywords: | Internal carotid artery arteriosclerosis Carotid endarterectomy Percutaneous transluminal angioplasty |
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