Abstract
Nowadays carotid artery stenting (CAS) may be considered an equal alternative to carotid endarterectomy
(CEA), especially in patients with high risk of surgical interventions CAS must be considered a method
of choice.
The article presents a case of a 68-year-old patient admitted to A.N. Bakulev National Medical Research
Center for Cardiovascular Surgery for surgical myocardial revascularization. Clinical examinations
showed – defuse coronary artery atherosclerotic lesion with left main (85%) and right coronary ostia (80%)
involved, likewise critical in-stent restenosis of single patent internal carotid artery was registered. Due to
severe coronary lesion and critical stenosis of carotid artery a two stage approach was considered as an optimal
surgical strategy with CAS as a fist stage, and coronary artery bypass grafting (CABG) – second, after
stabilization of neurological status.
A successful implantation of Protégé Rx 6-8х40 mm stent into internal carotid artery was carried out. After
2 weeks CABG surgery was performed with formation of LIMA-LAD, VG-OM and VG-RCA anastomosis.
So the stenting of the internal carotid artery is safe and effective procedure and may be rightfully considered
as a stage approach prior to surgical myocardial revascularization in high risk patients.
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About the authors
- Karen V. Petrosyan, Cand. Med. Sc., Head of Department; orcid.org/0000-0002-3370-0295
-
Ol'ga L. Bockeria, Dr. Med. Sc., Professor, Corresponding Member of RAS, Chief Researcher; orcid.org/0000-0002-7711-8520
-
Mnatsakan S. Arakelyan, Endovascular Surgeon; orcid.org/0000-0002-0588-7873
-
Vladimir V. Losev, Resident Physician; orcid.org/0000-0001-9677-7022
-
Merab K. Sanakoev, Cand. Med. Sc., Researcher
