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Carotid endarterectomy and simultaneous percutaneous transluminal angioplasty for tandem internal carotid stenoses

  • INTERVENTIONAL NEURORADIOLOGY
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Abstract

We treated three patients with tandem internal carotid stenoses in single procedures including carotid endarterectomy (CEA) for the proximal stenosis and percutaneous transluminal angioplasty (PTA) for the distal stenosis. We devised a Y-shaped shunt tube for the CEA, through which a balloon catheter was introduced to perform PTA guided by mobile digital subtraction angiography. No cerebrovascular events occurred during follow-up. Our approach avoids the risk of a second procedure while effectively treating tandem stenoses.

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Authors and Affiliations

  1. Department of Neurological Surgery, Wakayama Medical College, 7 ban-cho 27, Wakayama City, 640 Japan Tel.: + 81-7 34-26-82 77 Fax: + 81-7 34-33-59 98, , , , , , JP

    T. Terada, H. Yokote, Y. Kinoshita, M. Tsuura, O. Masuo, K. Nakai & T. Itakura

Authors
  1. T. Terada
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  2. H. Yokote
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  3. Y. Kinoshita
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  4. M. Tsuura
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  5. O. Masuo
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  6. K. Nakai
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  7. T. Itakura
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Received: 20 August 1997 Accepted: 5 November 1997

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Terada, T., Yokote, H., Kinoshita, Y. et al. Carotid endarterectomy and simultaneous percutaneous transluminal angioplasty for tandem internal carotid stenoses. Neuroradiology 40, 404–408 (1998). https://doi.org/10.1007/s002340050612

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  • DOI: https://doi.org/10.1007/s002340050612

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