Cerebral Protection with a Temporary Ascending Aorta-External Carotid Artery Bypass during Common Carotid Artery Revascularization.
Ann Vasc Surg
; 46: 368.e13-368.e17, 2018 Jan.
Article
em En
| MEDLINE
| ID: mdl-28890061
ABSTRACT
Atherosclerosis is a systemic disease, and multiarterial involvement is common. Involvement of all the supra-aortic arteries may occur in the same patient making cerebral revascularization challenging. In this report, we present complete supra-aortic revascularization, that is, revascularization of the bilateral common carotid and subclavian arteries in a 51-year-old male patient with occluded brachiocephalic trunk, left subclavian artery, and proximally stenotic left common carotid artery. A temporary ascending aorta to left external carotid artery bypass provided meticulous cerebral protection with pulsatile cerebral flow in the presence of a proximal arterial clamp; hence, a neurologically uneventful procedure during bilateral common carotid artery revascularization.
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Base de dados:
MEDLINE
Assunto principal:
Aorta
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Veia Safena
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Artéria Subclávia
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Artéria Carótida Externa
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Transtornos Cerebrovasculares
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Endarterectomia das Carótidas
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Estenose das Carótidas
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Artéria Carótida Primitiva
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Implante de Prótese Vascular
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article