Transcarotid arterial revascularization is feasible and safe with concomitant inferior vena cava occlusion
Transcarotid artery revascularization (TCAR) has risen as a promising minimally invasive intervention for high-risk patients with favorable anatomy. TCAR's noninferiority to carotid endarterectomy regarding stroke is reliant on its flow reversal technology and lack of aortic arch manipulation....
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-06-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723003234 |
| _version_ | 1797244913046257664 |
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| author | Ashley Penton, MD, MS Thomas Boland, BS Lorela Weise, MD Paul Crisostomo, MD, RPVI, FACS |
| author_facet | Ashley Penton, MD, MS Thomas Boland, BS Lorela Weise, MD Paul Crisostomo, MD, RPVI, FACS |
| author_sort | Ashley Penton, MD, MS |
| collection | DOAJ |
| description | Transcarotid artery revascularization (TCAR) has risen as a promising minimally invasive intervention for high-risk patients with favorable anatomy. TCAR's noninferiority to carotid endarterectomy regarding stroke is reliant on its flow reversal technology and lack of aortic arch manipulation. We present the case of a 79-year-old man with a chronically occluded inferior vena cava who safely underwent staged bilateral TCAR for bilateral high-grade carotid artery stenosis. Although chronic inferior vena cava occlusion alters flow mechanics, we suspect that any pressure gradient facilitating retrograde flow from the carotid artery to the femoral vein provides neuroprotective benefits. |
| first_indexed | 2024-04-24T19:18:33Z |
| format | Article |
| id | doaj.art-6808d5eb17c242dd98ed9451fb8f7ad0 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-24T19:18:33Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-6808d5eb17c242dd98ed9451fb8f7ad02024-03-26T04:26:57ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-06-01103101414Transcarotid arterial revascularization is feasible and safe with concomitant inferior vena cava occlusionAshley Penton, MD, MS0Thomas Boland, BS1Lorela Weise, MD2Paul Crisostomo, MD, RPVI, FACS3Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Loyola University Medical Center, Maywood, ILDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Loyola University Medical Center, Maywood, ILDivision of Vascular Surgery and Endovascular Therapy, Department of Surgery, Loyola University Medical Center, Maywood, ILCorrespondence: Paul Crisostomo, MD, RPVI, FACS, Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Loyola University Medical Center, Maywood, ILTranscarotid artery revascularization (TCAR) has risen as a promising minimally invasive intervention for high-risk patients with favorable anatomy. TCAR's noninferiority to carotid endarterectomy regarding stroke is reliant on its flow reversal technology and lack of aortic arch manipulation. We present the case of a 79-year-old man with a chronically occluded inferior vena cava who safely underwent staged bilateral TCAR for bilateral high-grade carotid artery stenosis. Although chronic inferior vena cava occlusion alters flow mechanics, we suspect that any pressure gradient facilitating retrograde flow from the carotid artery to the femoral vein provides neuroprotective benefits.http://www.sciencedirect.com/science/article/pii/S2468428723003234TCARChronic IVC occlusionStaged bilateral TCARBilateral carotid artery stenosis |
| spellingShingle | Ashley Penton, MD, MS Thomas Boland, BS Lorela Weise, MD Paul Crisostomo, MD, RPVI, FACS Transcarotid arterial revascularization is feasible and safe with concomitant inferior vena cava occlusion Journal of Vascular Surgery Cases and Innovative Techniques TCAR Chronic IVC occlusion Staged bilateral TCAR Bilateral carotid artery stenosis |
| title | Transcarotid arterial revascularization is feasible and safe with concomitant inferior vena cava occlusion |
| title_full | Transcarotid arterial revascularization is feasible and safe with concomitant inferior vena cava occlusion |
| title_fullStr | Transcarotid arterial revascularization is feasible and safe with concomitant inferior vena cava occlusion |
| title_full_unstemmed | Transcarotid arterial revascularization is feasible and safe with concomitant inferior vena cava occlusion |
| title_short | Transcarotid arterial revascularization is feasible and safe with concomitant inferior vena cava occlusion |
| title_sort | transcarotid arterial revascularization is feasible and safe with concomitant inferior vena cava occlusion |
| topic | TCAR Chronic IVC occlusion Staged bilateral TCAR Bilateral carotid artery stenosis |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723003234 |
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