{"id":"904186a6-00ef-4d4b-998a-4acba731abce","slug":"carotid-carotid-crossover-bypass-after-mechanical-thrombectomy-for-internal-carotid-artery-occlusion-due-to-plaque-from-stenosed-innominate-artery","title":"Carotid–carotid crossover bypass after mechanical thrombectomy for internal carotid artery occlusion due to plaque from stenosed innominate artery","authors":["Tomoaki Murakami","Shingo Toyota","Takuya Suematsu","Yuki Wada","Takeshi Shimizu","Takuyu Taki"],"abstract":"Background: The treatment for internal carotid artery occlusion (ICAO) due to innominate artery stenosis is not well established. We herein describe a case of carotid–carotid crossover bypass and common carotid artery (CCA) ligation after mechanical thrombectomy for ICAO due to a plaque from the stenosed innominate artery. Case Description: A 70-year-old man was transferred to our hospital because of left-sided hemiparalysis. Head magnetic resonance imaging/angiography showed a cerebral infarction in the right middle cerebral artery area and the right ICAO due to a plaque from the stenosed innominate artery. Immediately, we performed mechanical thrombectomy and successfully attained partial revascularization (Thrombolysis in Cerebral Infarction Grade 2B). After a conference with cardiovascular group, we performed carotid–carotid crossover bypass and the right CCA ligation. The treatment was successful, and no complications occurred. Conclusion: Carotid–carotid crossover bypass and CCA ligation may be a better option for innominate artery stenosis in selected patients.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/904186a6-00ef-4d4b-998a-4acba731abce/featured/hero-1781561979451.png","publishDate":"2021-09-30T00:00:00.000Z","doi":"10.25259/SNI_749_2021","categories":["Neurovascular","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/09/11148/SNI-12-480.pdf"}