Retropharyngeal carotid artery stenosis; potential for minimizing operative complications utilizing transcarotid artery stent revascularization
Retropharyngeal carotid artery occlusive disease presents a formidable challenge for surgeons due to its anatomic location and increased potential for complications. Conventional treatments, including open revascularization and transfemoral stenting, often face limitations. Transcarotid artery revas...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002144 |
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| author | Hani Shennib, MD Victor Huerta, DO |
| author_facet | Hani Shennib, MD Victor Huerta, DO |
| author_sort | Hani Shennib, MD |
| collection | DOAJ |
| description | Retropharyngeal carotid artery occlusive disease presents a formidable challenge for surgeons due to its anatomic location and increased potential for complications. Conventional treatments, including open revascularization and transfemoral stenting, often face limitations. Transcarotid artery revascularization (TCAR) has offered a promising alternative, integrating a hybrid surgical and endovascular approach. We present a case of an elderly patient with severe symptomatic stenosis of a retropharyngeal carotid artery treated with TCAR. We review the potential injuries reported with the use of transfemoral stenting and endarterectomy in this setting and suggest that TCAR may be a safer modality for its treatment. |
| format | Article |
| id | doaj-art-1bf80570d76648e0944257a17ba6b62a |
| institution | DOAJ |
| issn | 2468-4287 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-1bf80570d76648e0944257a17ba6b62a2025-08-20T02:49:00ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-12-0110610163010.1016/j.jvscit.2024.101630Retropharyngeal carotid artery stenosis; potential for minimizing operative complications utilizing transcarotid artery stent revascularizationHani Shennib, MD0Victor Huerta, DO1Department of Cardiovascular Surgery, Arizona Heart Hospital, Phoenix, AZ; Correspondence: Hani Shennib, MD, Department of Cardiovascular Surgery, Arizona Heart Hospital, 1930 E Thomas Rd, Phoenix, AZ 85016Department of Surgery, Midwestern University, Glendale, AZRetropharyngeal carotid artery occlusive disease presents a formidable challenge for surgeons due to its anatomic location and increased potential for complications. Conventional treatments, including open revascularization and transfemoral stenting, often face limitations. Transcarotid artery revascularization (TCAR) has offered a promising alternative, integrating a hybrid surgical and endovascular approach. We present a case of an elderly patient with severe symptomatic stenosis of a retropharyngeal carotid artery treated with TCAR. We review the potential injuries reported with the use of transfemoral stenting and endarterectomy in this setting and suggest that TCAR may be a safer modality for its treatment.http://www.sciencedirect.com/science/article/pii/S2468428724002144Carotid diseaseCarotid endarterectomyCarotid stentingKissing carotidsTCAR |
| spellingShingle | Hani Shennib, MD Victor Huerta, DO Retropharyngeal carotid artery stenosis; potential for minimizing operative complications utilizing transcarotid artery stent revascularization Journal of Vascular Surgery Cases and Innovative Techniques Carotid disease Carotid endarterectomy Carotid stenting Kissing carotids TCAR |
| title | Retropharyngeal carotid artery stenosis; potential for minimizing operative complications utilizing transcarotid artery stent revascularization |
| title_full | Retropharyngeal carotid artery stenosis; potential for minimizing operative complications utilizing transcarotid artery stent revascularization |
| title_fullStr | Retropharyngeal carotid artery stenosis; potential for minimizing operative complications utilizing transcarotid artery stent revascularization |
| title_full_unstemmed | Retropharyngeal carotid artery stenosis; potential for minimizing operative complications utilizing transcarotid artery stent revascularization |
| title_short | Retropharyngeal carotid artery stenosis; potential for minimizing operative complications utilizing transcarotid artery stent revascularization |
| title_sort | retropharyngeal carotid artery stenosis potential for minimizing operative complications utilizing transcarotid artery stent revascularization |
| topic | Carotid disease Carotid endarterectomy Carotid stenting Kissing carotids TCAR |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002144 |
| work_keys_str_mv | AT hanishennibmd retropharyngealcarotidarterystenosispotentialforminimizingoperativecomplicationsutilizingtranscarotidarterystentrevascularization AT victorhuertado retropharyngealcarotidarterystenosispotentialforminimizingoperativecomplicationsutilizingtranscarotidarterystentrevascularization |