Stent-Graft Treatment of Late Stenosis of the Left Common Carotid Artery Following Thoracic Graft Placement

• Published in: Cardiovascular and interventional radiology Vol. 31; no. 2; pp. 386 - 390
• Main Authors: Medda, Massimo, Lioupis, Christos, Mollichelli, Nadia, Fantoni, Cecilia, Inglese, Luigi
• Format: Journal Article
• Language: English
• Published: New York Springer-Verlag 01-03-2008; Springer Nature B.V
• Subjects: Aged; AORTA; Aortic Aneurysm, Thoracic - surgery; Blood Vessel Prosthesis Implantation; Cardiology; CAROTID ARTERIES; Carotid Stenosis - etiology; Carotid Stenosis - therapy; Case Report; Contrast Media; GRAFTS; Humans; Imaging; Male; Medicine; Medicine & Public Health; Nuclear Medicine; PATIENTS; Radiology; RADIOLOGY AND NUCLEAR MEDICINE; REPAIR; Stents; SURGERY; Tomography, X-Ray Computed; Ultrasound; Stenosis; Stent-graft; Common carotid artery; Migration; Subtotal occlusion
• ISSN: 0174-1551; 1432-086X
• DOI: 10.1007/s00270-007-9085-7

We report the case of a patient with subtotal occlusion of the origin of the left common carotid artery (CCA) following thoracic graft placement. Retrograde endovascular placement of a stent-graft by minimal cervical access was undertaken to repair the occlusive lesion of the left CCA and prevent future complications of endoluminal thoracic reconstruction. The retrograde endovascular repair of CCA lesions, as other authors have already suggested, may be the treatment of choice in “high-surgical-risk” patients. In these cases where the ostium of supra-aortic trunks is compromised following thoracic aorta stent-graft migration, endoluminal placement of a stent-graft in the CCA can guarantee both maintenance of carotid flow and thoracic stent-graft fixation.