ArticleActa neurochirurgica2026
Hybrid surgical-endovascular revascularization for long‑segment common carotid artery occlusion close to the aortic arch: a case report.
Article in Acta neurochirurgica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Common carotid artery occlusion (CCAO) is a rare condition without standardized treatment, particularly in cases with long, calcified occlusions. We present a 56-year-old man with symptomatic left CCAO (Riles type 1A) treated with a hybrid surgical-endovascular approach due to limited bypass options. Although a guidewire crossed the lesion, device advancement was prevented by dense plaque. Through cervical exposure, the distal wire was grasped and traction applied, allowing balloon angioplasty and stent placement. Complete revascularization was achieved without complications. This case highlights the effectiveness of hybrid strategies for managing complex CCAO with challenging anatomical features.
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