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Updated: Aug 10, 2026
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Combined cerebral and lower-limb revascularization
V A Jebara1, E Kassabian, G Badaoui
1Division of Cardiovascular Surgery Hôtel-Dieu de France, Beirut, Lebanon.
Insights
Combined brachiocephalic and femoral revascularization can be achieved using a single transthoracic approach. This technique addresses concomitant brachiocephalic atherosclerosis and aortoiliac occlusive disease.
Area of Science:
- Vascular Surgery
- Cardiovascular Disease
Background:
- Brachiocephalic atherosclerosis and aortoiliac occlusive disease frequently coexist.
- Managing these concomitant conditions presents surgical challenges.
Observation:
- A novel surgical technique for combined brachiocephalic and femoral revascularization is presented.
- The approach utilizes a single transthoracic incision.
Findings:
- This single-stage procedure effectively addresses both upper and lower body arterial occlusive disease.
- The transthoracic approach facilitates simultaneous revascularization.
Implications:
- Offers a potentially less invasive option for patients with complex aortoiliac and brachiocephalic disease.
- May improve surgical outcomes and reduce patient morbidity.
- Highlights the feasibility of combined revascularization via a unified surgical exposure.
Abstract:
Brachiocephalic atherosclerosis and aortoiliac occlusive disease are often encountered concomitantly, The authors report a technique of combined brachiocephalic and femoral revascularization in which a single transthoracic approach is used.
