Rendezvous endovascular common carotid artery stenting (RECCAS) technique for symptomatic steno-occlusive disease

Area of Science:

• Neurology
• Vascular Surgery
• Interventional Cardiology

Background:

• Severe stenosis of the common carotid artery (CCA) origin can lead to transient ischemic attacks, such as arm weakness and sensory alterations.
• Traditional treatment options include open surgical repair or standard transfemoral endovascular approaches, each with potential risks and limitations.

Purpose of the Study:

• To describe a novel endovascular rendezvous technique for treating severe CCA origin stenosis.
• To evaluate the safety and efficacy of this technique in a patient presenting with transient neurological symptoms.

Main Methods:

• A novel technique combining retrograde common carotid artery and anterograde transfemoral approaches was utilized for endovascular stenting.
• This rendezvous technique aimed to enhance procedural control and facilitate stent delivery across the stenosis.

Main Results:

• Successful endovascular stenting of the stenosed CCA origin was achieved using the described rendezvous technique.
• The patient experienced complete recovery from neurological symptoms with no complications during a three-month follow-up period.

Conclusions:

• The novel endovascular rendezvous technique is a viable and potentially advantageous alternative for treating severe CCA origin stenosis.
• This minimally invasive approach offers improved procedural control and avoids the need for open surgical intervention, leading to favorable patient outcomes.