Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2019)

Simultaneous transcarotid artery revascularization with flow reversal and coronary artery bypass grafting: A novel hybrid technique

  • Zachary F. Williams, MD,
  • Lindsey A. Olivere, BS,
  • Jacob Schroder, MD,
  • Mitchell W. Cox, MD,
  • Chandler A. Long, MD,
  • Kevin W. Southerland, MD

Journal volume & issue
Vol. 5, no. 4
pp. 572 – 575

Abstract

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Optimal management of concomitant coronary artery disease and carotid artery stenosis remains unknown. Current treatment strategies for patients with significant dual disease burden include simultaneous carotid endarterectomy and coronary artery bypass grafting (CABG) or staged carotid endarterectomy and CABG. Herein we present the case of a patient with severe coronary artery disease and carotid artery stenosis and discuss a novel hybrid approach to management of concomitant coronary and carotid disease using transcarotid artery revascularization with flow reversal before CABG. Keywords: Carotid artery stenosis, Transcarotid artery revascularization (TCAR), Combined coronary artery disease