Related Experiment Video
Updated: Apr 29, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Hybrid treatment of symptomatic chronic isolated carotid bifurcation
Mario Marino1, Holta Kasemi2, Costantino Luca Di Angelo1
1Vascular Surgery Unit, Department of Surgery, "San Francesco" Hospital, Nuoro, Italy.
Insights
A novel hybrid approach effectively treated chronic common carotid artery occlusion, preventing further strokes. This technique combined antegrade recanalization and retrograde stenting with endarterectomy, leading to asymptomatic outcomes in patients.
Area of Science:
- Vascular Surgery
- Neurology
- Interventional Cardiology
Background:
- Chronic occlusion of the common carotid artery (CCA) can lead to cerebral hypoperfusion and embolism.
- Symptomatic presentation often involves neurological deficits due to reduced blood flow or embolic events.
- Patent internal and external carotid arteries are crucial for collateral circulation in CCA occlusion.
Abstract:
Total chronic occlusion of the common carotid artery with patent internal and external carotid arteries can induce cerebral embolism and hypoperfusion. We report a hybrid approach that was used to treat 2 patients presented with symptomatic chronic occlusion of the common carotid artery and ipsilateral internal carotid stenosis. Antegrade recanalization and retrograde stenting of the common carotid artery was performed in both patients associated to carotid bulb endarterectomy. Fresh thrombus observed in the distal common carotid stump was responsible for the embolic cerebral lesions and patients' previous symptoms. Patients remain asymptomatic at the 23rd- and 18th-month follow-up, respectively.
More Related Videos
09:36A Magnetic Resonance Imaging-based Computational Protocol for Analysis of Plaque Morphology and Hemodynamics in Patients with Carotid Artery Stenosis
Published on: August 12, 2025
07:46Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
Published on: May 9, 2013
Related Concept Videos
Coronary Artery Disease V: Interprofessional Care
Peripheral Artery Disease III: Interprofessional Care
Mitral Stenosis III: Medical Management
Atherosclerosis III: Management
Aneurysm III: Interprofessional Care
Angina IV: Management