A Prosthetic Conduit can be Used Safely for TransCarotid Artery Revascularization Under Local Anesthesia in High-Risk Patients

IF 0.7 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Vascular and Endovascular Surgery Pub Date : 2024-09-18 DOI:10.1177/15385744241285580

Jeffrey Lu, Katey McCabe, Charlie Drucker, David Blitzer, Khanjan Nagarsheth, Shahab Toursavadkohi

引用次数: 0

Abstract

Surgical management of carotid stenosis has evolved from open carotid endarterectomy (CEA) to include multiple alternative procedures including transfemoral carotid artery stenting (tfCAS) and transcarotid artery stenting. In recent years, Transcarotid Artery Revascularization (TCAR) has emerged as a third option, combining open cut down to the common carotid artery (CCA) with endovascular stenting and neuroprotection via reversal of cerebral blood flow. In this case series, a modified TCAR procedure using a prosthetic conduit was successfully performed exclusively under local anesthesia in a total of 10 patients with carotid artery stenosis, high cardiac risk, and anatomical contraindications to a traditional TCAR.

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假体导管可在局部麻醉下安全用于高风险患者的经颈动脉血管重建术

颈动脉狭窄的外科治疗已从开放性颈动脉内膜剥脱术（CEA）发展到多种替代手术，包括经股动脉颈动脉支架植入术（tfCAS）和经颈动脉支架植入术。近年来，经颈动脉血运重建术（TCAR）已成为第三种选择，它将颈总动脉（CCA）开放切口与血管内支架植入术相结合，并通过逆转脑血流来保护神经。在本病例系列中，共有 10 位颈动脉狭窄、心脏风险高且有传统 TCAR 解剖禁忌症的患者在局部麻醉下成功实施了使用人工导管的改良 TCAR 手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE

CiteScore

1.70

自引率

11.10%

发文量

132

审稿时长

4-8 weeks

期刊介绍： Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).