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  • Title: Cerebral Protection with a Temporary Ascending Aorta-External Carotid Artery Bypass during Common Carotid Artery Revascularization.
    Author: Ugurlucan M, Onal Y, Oztas DM, Canbay C, Demir I, Sayin OA, Kilickesmez O, Cakir MS, Aydin K, Alpagut U.
    Journal: Ann Vasc Surg; 2018 Jan; 46():368.e13-368.e17. PubMed ID: 28890061.
    Abstract:
    Atherosclerosis is a systemic disease, and multiarterial involvement is common. Involvement of all the supra-aortic arteries may occur in the same patient making cerebral revascularization challenging. In this report, we present complete supra-aortic revascularization, that is, revascularization of the bilateral common carotid and subclavian arteries in a 51-year-old male patient with occluded brachiocephalic trunk, left subclavian artery, and proximally stenotic left common carotid artery. A temporary ascending aorta to left external carotid artery bypass provided meticulous cerebral protection with pulsatile cerebral flow in the presence of a proximal arterial clamp; hence, a neurologically uneventful procedure during bilateral common carotid artery revascularization.
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