Related Experiment Video

Updated: Apr 12, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

1.3K

Endovascular Treatment of Proximal Aortic Arch Lesions through a Retrograde Approach

Edgar A Samaniego1, Barry T Katzen2, Andreas S Kreusch3

  • 1Departamento de Cirugía Neuroendovascular, Hospital Eugenio Espejo, Quito, Ecuador, Fla., USA.

Interventional Neurology
|May 23, 2015
PubMed

Insights

Treating complex tandem carotid artery lesions is challenging. A hybrid approach combining surgery and endovascular intervention offers a safe and effective solution for high-risk patients with difficult anatomy.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Therapy

Background:

  • Tandem atherosclerotic lesions in the carotid bifurcation and proximal common carotid artery (CCA) or innominate artery (IA) present significant treatment challenges.
  • Traditional surgical or endovascular methods face limitations due to complex anatomy and extensive surgical exposure requirements.

Purpose of the Study:

  • To evaluate the safety and efficacy of a hybrid surgical and endovascular approach for complex tandem lesions in the carotid arteries.
  • To assess outcomes in patients with challenging proximal CCA or IA lesions requiring combined treatment strategies.

Main Methods:

  • Retrospective analysis of 11 patients undergoing hybrid procedures for tandem carotid lesions.
  • Procedures involved surgical exposure (carotid endarterectomy or cutdown) combined with retrograde endovascular intervention.
  • Mean stenosis was 81%, with interventions targeting proximal CCA or IA lesions.

Main Results:

  • All hybrid procedures were technically successful.
  • Eight out of eleven patients remained asymptomatic within 30 days post-procedure.
  • The hybrid approach demonstrated effectiveness in managing high-risk complex anatomy.

Conclusions:

  • The hybrid retrograde endovascular approach through carotid exposure is a safe and effective option for selected patients with complex tandem carotid lesions.
  • This technique addresses challenging anatomical variations that complicate standard treatment modalities.

Keywords:
Aortic archCarotid arteryEndovascular treatmentInnominate arteryStenosis

More Related Videos

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

656

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
458
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
546