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Bilateral carotid stenting combined with three-vessel percutaneous coronary intervention in single setting
R S Kiesz1, M M Rozek, D Bouknight
1Department of Medicine, Division of Cardiology, University of Texas Health Science Center, San Antonio, TX 78284, USA.
Insights
This study reports a novel, simultaneous procedure combining bilateral carotid artery stenting and three-vessel coronary intervention. The patient experienced no complications and fully recovered, highlighting a potentially safe and effective approach.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Background:
- Simultaneous interventions on cerebrovascular and coronary arteries are complex.
- Unstaged bilateral carotid stenting combined with multi-vessel coronary intervention presents unique technical challenges.
Observation:
- A patient underwent a single procedure for bilateral internal carotid artery stenting and three-vessel percutaneous coronary intervention.
- An innovative technique utilizing combined coronary and peripheral stenting devices was employed for carotid stenting.
Findings:
- The combined procedure was successfully completed without any immediate complications.
- The patient was discharged one day post-intervention and remained asymptomatic with a fully active lifestyle.
Implications:
- This case demonstrates the feasibility and safety of performing unstaged bilateral carotid stenting concurrently with complex coronary interventions.
- The described technique may offer a streamlined approach for patients requiring simultaneous revascularization of both cerebrovascular and coronary territories.
- Further research is warranted to evaluate the long-term outcomes and broader applicability of this combined interventional strategy.
Abstract:
We describe a patient who underwent bilateral internal carotid artery stenting and three-vessel percutaneous coronary intervention during the same procedure. Stenting of carotid arteries was performed employing our innovative technique combining coronary and peripheral devices. No complications occurred. The patient was discharged home 1 day after the intervention and remains asymptomatic, leading a fully active life. To our knowledge, unstaged bilateral carotid stenting combined with three-vessel coronary intervention has not been reported previously.