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In-stent restenosis of innominate artery with critical stenosis of right internal carotid artery
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2011; 21 (4): 239-241
in English | IMEMR | ID: emr-110170
ABSTRACT
A lady with aortitis syndrome developed in-stent restenosis [ISR] of the innominate artery stent and critical stenosis of right internal carotid artery. The therapeutic challenge was gaining access to the carotid vessel, after treating the innominate artery ISR and all the while using distal protection to circumvent potential cerebral embolism. Percutaneous transluminal angioplasty [PTA] with or without stenting is a safe therapeutic option for re-vascularization of the supra aortic vessels. In the event of re-stenosis, re-treatment with PTA and stenting is safe. Ample evidence-base exists now for carotid artery stenting [CAS] in preference to carotid endarterectomy in patients with stenotic lesions of the carotid vessels
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Index: IMEMR (Eastern Mediterranean) Main subject: Aortitis / Catheterization / Carotid Artery, Internal / Brachiocephalic Trunk / Carotid Stenosis / Constriction, Pathologic / Intracranial Embolism / Embolic Protection Devices Type of study: Case report Limits: Female / Humans Language: English Journal: J. Coll. Physicians Surg. Pak. Year: 2011

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Index: IMEMR (Eastern Mediterranean) Main subject: Aortitis / Catheterization / Carotid Artery, Internal / Brachiocephalic Trunk / Carotid Stenosis / Constriction, Pathologic / Intracranial Embolism / Embolic Protection Devices Type of study: Case report Limits: Female / Humans Language: English Journal: J. Coll. Physicians Surg. Pak. Year: 2011