Page 31 - Virtual Vascular Vol 13
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CTA showed bilateral common carotid occlusion, extensive neck artery calcifications, with
the brain supplied by a dominant L vertebral artery.
Treatment of occluded common carotid, usually RT induced, is very difficult since stenting
is no longer an option. This patient has no useful inflow vessels accessible in the neck.
Surgical bypass may be a left subclavian to right carotid bypass but would be difficult due
to an irradiated field in the neck, and diseased thickened arteries adding to the risks of
intraoperative stroke.
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