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The Journal of Cardiovascular Surgery 2020 Jul 01

DOI: 10.23736/S0021-9509.20.11421-6

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

The utilization of intravascular lithotripsy to facilitate transcarotid artery stenting in a nonagenarian patient

Rafael D. MALGOR 1 , Kevin ROGERS 2, Emily A. MALGOR 1, Mohammed AL-MUSAWI 1, Sammy SIADA 1, Donald L. JACOBS 1

1 Division of Vascular and Endovascular Surgery, University of Colorado, Anschutz Medical Center, Aurora, CO, USA; 2 Division of Cardiology, University of Colorado, Anschutz Medical Center, Aurora, CO, USA


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Carotid artery disease and stroke account for the second cause of mortality in worldwide. Recently, transcarotid artery stenting (TCAR) has emerged as a treatment modality that carries the lowest a very low stroke rate. However, there are limitations to TCAR, such as heavily calcified plaques that might preclude optimal stent expansion. We describe a successful transcarotid artery stenting with flow reversal performed in an independent and active nonagenarian with focal, circumferentially calcified carotid artery plaque, for which intravascular lithotripsy was utilized.


KEY WORDS: Carotid artery; Stent; Transcarotid; Intravascular lithotripsy; Endovascular; Stroke

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