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Carotid-Carotid Bypass: An Excellent Procedure for the Treatment of Complex Extracranial Carotid Artery Disease

Case Reports

Department of Surgery, General Hospital Ludwigshafen, Ludwigshafen/Rhein, FRG

Stefanie K. Seelig, MD

Department of Gynecology and Obstetrics, Evangelical Deaconess Hospital Karlsruhe, Karlsruhe, FRG

W. Andrew Oldenburg, MD

Department of Surgery, Mayo Clinic Jacksonville, Jacksonville, Florida

Carotid-carotid bypass grafting is a procedure only rarely performed. However, in selected cases it may provide an excellent treatment alternative. The authors report on two patients who were treated by carotid-carotid bypass. The first patient had recurrent cerebral emboli from a chronic aortic dissection extending into the right innominate, common carotid, and internal carotid artery. The second patient was symptomatic from a recurrent high-grade internal carotid artery stenosis and an ulcerated plaque in the right common carotid artery following radical neck dissection and radiotherapy. The indications for this procedure are described and the related literature is reviewed.

Vascular and Endovascular Surgery, Vol. 34, No. 6, 607-612 (2000)
DOI: 10.1177/153857440003400619


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