One-Stage Angioplasty and Stenting of Ostium of Left Common Carotid Artery and Stenting of Left Internal Carotid Artery

  • Massoud Ghasemi Research Center of Endovascular Intervention, Tehran, Iran.
  • Maryam Mehrpooya Mail Department of Cardiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. AND Department of Cardiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
  • Farshad Ghasemi Mount Sini Hospital, University of Toronto, Toronto, Canada.
  • Fatemeh Shahbazi Department of Biology, Payame Noor University, Tehran, Iran.
Angioplasty, Stenting, Transient ischemic attack


Our aim was to report techniques and our experience in One-stage angioplasty and stenting of ostium of left common carotid and left internal carotid arteries in an octogenarian man with transient ischemic attack, who was completely recovered from neurologic insults short time after the procedure. An 81-year-old man presented with a transient ischemic attack. Neurologic examination showed left side transient visual obscuration or amaurosis fugax and right hemiparesis. Carotid duplex imaging revealed an 80% stenosis of the left internal carotid artery (LICA) and 95 % of the ostium of left common carotid artery (left CCA). Immediate brain MRI wasn’t possible. Angioplasty and stenting of both lesions (left CCA and LICA ) was performed successfully without complications in one session. Stenting of common carotid artery ostial lesion and internal carotid artery (due to significant lesion) in one session could be done even in acute neurologic phase and also in very old patients, provided that, considering technical ways for neuroprotection and avoidance of other complications.


White CJ. Carotid Artery Stenting. J Am Coll Cardiol 2014;64:722-31.

Metzger DC, Hibbard R, Ashchi M, Shah R, Smalling R,Heck D. TCT-2 Peri-procedural Outcomes After Carotid Artery Stenting with the First 15,000 Patients Enrolled in the SAPPHIRE Worldwide Study. J Am Coll Cardiol 2012;60:1-7.

Cohen DJ, Stolker JM, Wang K, Magnuson EA, Clark WM, Demaerschalk BM, et al. CREST Investigators.

Health-related quality of life after carotid stenting versus carotid endarterectomy: results from CREST (Carotid

Revascularization Endarterectomy Versus Stenting Trial).J Am Coll Cardiol 2011;58:1557-65.

Cam A, Muhammad KI, Shishehbor MH, Bajzer CT,Kapadia SR. Technique and outcome of ostial common

carotid artery stenting: a single centre experience.EuroIntervention 2012;7:1210-5.

Paukovits TM, Haász J, Molnár A, Szeberin Z, Nemes B,Varga D, et al. Transfemoral endovascular treatment of

proximal common carotid artery lesions: a single-center experience on 153 lesions. J Vasc Surg 2008;48:80-7.

Joye J. Neuroprotection for ostial common carotid stenoses. Endovascular Today. (Accessed March 2016, 12 at

How to Cite
Ghasemi M, Mehrpooya M, Ghasemi F, Shahbazi F. One-Stage Angioplasty and Stenting of Ostium of Left Common Carotid Artery and Stenting of Left Internal Carotid Artery. Acta Med Iran. 55(1):79-81.
Case Report(s)