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Ring-stripping retrograde common carotid endarterectomy: case report
Eduardo Toledo de Aguiar1, Alex Lederman, Patrícia Matsunaga
1Departamento de Cirurgia, Faculdade de Medicina, Universidade de São Paulo, Brazil. etaguiar@usp.br
Sao Paulo Medical Journal = Revista Paulista De Medicina
|November 19, 2002
Summary
Retrograde common carotid endarterectomy is a feasible surgical option for total carotid occlusion, demonstrating low mortality and excellent long-term patency. This technique offers a single cervical incision approach for treating tandem carotid lesions.
Area of Science:
- Vascular Surgery
- Cerebrovascular Disease Management
- Surgical Techniques
Background:
- Total occlusion of the common carotid artery is a rare condition with controversial indications and techniques for surgical intervention.
- Existing treatment strategies for common carotid artery occlusion often lack definitive consensus.
Observation:
- A retrospective case report study evaluated retrograde common carotid endarterectomy in three patients with total common carotid occlusion.
- Patients presented with diverse comorbidities including hypertension, diabetes mellitus, and chronic renal insufficiency.
Findings:
- The retrograde endarterectomy procedure showed no early mortality and a low rate of transient ischemic attack.
- All treated common carotid endarterectomies remained patent at follow-up intervals of 8 months, 4 years, and 7 years.
Implications:
- Retrograde common carotid endarterectomy is a viable and safe option for managing long total occlusions of the common carotid artery.
- The technique allows for treatment of tandem carotid lesions through a single cervical incision, with sustained long-term patency.