Hybrid revascularization: stenting of left internal carotid artery after restenosis, combined with left anterior descending artery stenting and right carotid endarterectomy

Abstract

We present a description of internal carotid artery restenosis five years after eversion carotid endarterectomy, progression of contralateral internal carotid artery stenosis and coronary atherosclerosis with imaging of haemodynamically significant stenosis of the anterior descending artery. The efficacy of hybrid revascularization is demonstrated: carotid angioplasty with stenting of the left internal carotid artery stenosis + percutaneous coronary intervention for the anterior descending artery + left carotid endarterectomy. We explain the choice of these types of reconstruction and staging of the intervention. We make a conclusion regarding the effectiveness and safety of the implemented treatment strategy.

Keywords

• carotid endarterectomy
• carotid angioplasty and stenting
• internal carotid artery stenting
• restenosis
• percutaneous coronary intervention
• hybrid coronary revascularization
• combined pathology