An Experience of Carotid-Carotid Bypass In Innominate Artery Stenosis

ABSTRACT

Innominate artery stenosis rarely cause irreversible neulogic changes, but symptoms and disability do occur. Stenosis lesions cause hypoperfusion, while microemboli may arise from ulcerative plaques. Symptoms include vertigo, ataxia, dizziness, syncope, cerebellar transient ischemic attacks. Surgical correction of stenotic lesions may relieve symptoms, but the best operative approch will vary depending on the site the obstruction or the multiplicity of arteries involved. The authors report a case of innominate artery stenosis with carotid-carotid bypass using polytetrafluoroethylene graft.