Hybrid treatment of symptomatic carotid disease

Abstract

Hybrid treatment is a well reported technique for tandem carotid artery disease. Herein, we present a previously undescribed technique to facilitate safe passage of a guidewire via the inflow limb of the Pruitt-Inahara shunt in the proximal common carotid artery. This technique helps to obviate the risk of causing dissection or intimal damage during retrograde access and carotid stenting in hybrid carotid procedures. Keywords: Carotid endarterectomy, Carotid stenting, Hybrid procedure, Tandem lesion, Guidewire