ArticleJournal of vascular surgery cases and innovative techniques2026
Carotid-carotid bypass with novel bilateral extracorporeal carotid shunting: A hybrid open and endovascular technique.
Article in Journal of vascular surgery cases and innovative techniques, 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
Carotid-carotid bypass is a revascularization option for symptomatic proximal carotid or innominate artery occlusive disease. We report the case of a 77-year-old woman with innominate in-stent occlusion who sustained an acute right hemispheric stroke during hospitalization. Cerebral angiography demonstrated that the right hemisphere was perfused solely through a circuitous, stenotic vertebrobasilar collateral pathway, with absent anterior crossflow, making carotid clamping immediately catastrophic. A three-way extracorporeal shunting circuit-established under fluoroscopic guidance before carotid clamping-maintained continuous bilateral internal carotid perfusion during simultaneous carotid clamping and carotid-carotid bypass, achieving zero cerebral ischemia time. The patient remained neurologically intact at discharge.
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