Staged cerebral revascularization in a patient with an occluded common carotid artery.

Craig H. Rabb, Gregory L. Moneta

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

BACKGROUND AND PURPOSE: We report a management strategy for cerebral revascularization in a patient with an occluded common carotid artery by first performing a subclavian to external carotid artery bypass, followed by superficial temporal artery middle cerebral artery (STA-MCA) bypass. METHODS: The patient presented with symptomatic left hemispheric hemodynamic insufficiency, associated with occlusion of the ipsilateral internal and common carotid arteries. The STA was not detectable. The patient was treated initially with a subclavian to external carotid artery bypass, with partial improvement in symptoms. RESULTS: Angiography demonstrated improvement in perfusion and STA filling, which was used for STA-MCA bypass, with resolution of symptoms. CONCLUSIONS: Our experience with this case has led us to consider a staged approach for management of patients with an occluded common carotid artery.

Original languageEnglish (US)
Pages (from-to)E68-70
JournalStroke; a journal of cerebral circulation
Volume36
Issue number8
StatePublished - Aug 2005
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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