Percutaneous revascularization of coexisting severe carotid and coronary artery disease: a case report

Area of Science:

• Cardiovascular Medicine
• Interventional Cardiology
• Vascular Surgery

Background:

• Carotid endarterectomy is a common treatment for carotid artery stenosis, but carries significant risks in high-risk patients.
• Percutaneous coronary angioplasty and stenting are emerging as potential alternatives for managing complex atherosclerotic disease.
• Simultaneous treatment of critical carotid and coronary stenosis presents unique clinical challenges.

Observation:

• A 74-year-old patient presented with advanced coronary artery disease and severe bilateral carotid artery stenosis.
• The patient underwent a combined procedure involving coronary angioplasty and carotid artery stenting.
• This case represents an approach to managing concurrent critical stenotic lesions in both vascular beds.

Findings:

• The case demonstrates the feasibility of simultaneous percutaneous coronary intervention and carotid artery stenting.
• This combined approach may be a viable option for high-risk patients with comorbid coronary and carotid disease.
• Successful intervention was achieved in this representative case.

Implications:

• Percutaneous revascularization strategies may expand treatment options for patients with complex cardiovascular and cerebrovascular disease.
• Further research is warranted to evaluate the safety and efficacy of combined percutaneous approaches in high-risk populations.
• This approach could potentially reduce perioperative morbidity and mortality associated with traditional surgical interventions.