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Vascular and Endovascular Surgery
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Endovascular Treatment of Carotid Stump Syndrome

Gianpaolo Carrafiello, MD

Interventional Radiology, Department of Radiology, University of Insubria, Varese, Italy

Maria Luisa DeLodovici, MD

Institute of Neurology, Department of Neurology, University of Insubria, Varese, Italy

Gabriele Piffaretti, MD

Vascular Surgery, Department of Surgical Sciences University of Insubria, Varese, Italy, gabriele.piffaretti{at}tiscali.it

Patrizio Castelli, MD, FACS

Vascular Surgery, Department of Surgical Sciences University of Insubria, Varese, Italy

We present the case of a carotid stump syndrome in a 72-year-old woman with a 3-day history of recurrent transient ischemic attacks. Computed tomographic angiography showed the occlusion of the ipsilateral internal carotid artery, and the presence of an internal stump with ophtalmic reverse flow, confirming the suspect of a stump syndrome. The patient underwent stent-graft exclusion of the carotid stump; she was last seen 12 months after the procedure when she remained totally asymptomatic.

Key Words: stump syndrome • carotid stent-graft • endovascular

This version was published on June 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 3, 277-279 (2009)
DOI: 10.1177/1538574408327573
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