Percutaneous revascularization of coexisting severe carotid and coronary artery disease: a case report
Cardaioli, P.; Giordan, M.; Isabella, G.
Italian Heart Journal Official Journal of the Italian Federation of Cardiology 2(9): 707-710
2001
ISSN/ISBN: 1129-471X PMID: 11666101 Document Number: 531114
Following the NASCET and ACAS trials, the use of carotid endarterectomy for the treatment of carotid artery stenosis has become widespread. However, in high-risk patients, the perioperative morbidity and mortality have reached 18%. In such populations, a percutaneous approach including coronary angioplasty and stenting of the carotid lesion could be an option worth exploring. In this report we discuss a case that is representative of our experience with the simultaneous treatment of critical carotid and coronary stenosis. A 74-year-old patient with advanced coronary artery disease and severe bilateral carotid pathology was submitted to coronary angioplasty and stenting of the carotid lesions.