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<p>Common carotid artery occlusion (CCAO) is a rare condition without standardized treatment, particularly in cases with long, calcified occlusions. We present a 56-year-old man with symptomatic left CCAO (Riles type 1A) treated with a hybrid surgical–endovascular approach due to limited bypass options. Although a guidewire crossed the lesion, device advancement was prevented by dense plaque. Through cervical exposure, the distal wire was grasped and traction applied, allowing balloon angioplasty and stent placement. Complete revascularization was achieved without complications. This case highlights the effectiveness of hybrid strategies for managing complex CCAO with challenging anatomical features.</p>

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Hybrid surgical–endovascular revascularization for long‑segment common carotid artery occlusion close to the aortic arch: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月6日

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  • Takeshi Uno,
  • Masaaki Shojima,
  • Yuki Nakamura,
  • Yuta Oyama,
  • Ai Kawaguchi,
  • Hirotomo Ten,
  • Masahiro Shin

摘要

Common carotid artery occlusion (CCAO) is a rare condition without standardized treatment, particularly in cases with long, calcified occlusions. We present a 56-year-old man with symptomatic left CCAO (Riles type 1A) treated with a hybrid surgical–endovascular approach due to limited bypass options. Although a guidewire crossed the lesion, device advancement was prevented by dense plaque. Through cervical exposure, the distal wire was grasped and traction applied, allowing balloon angioplasty and stent placement. Complete revascularization was achieved without complications. This case highlights the effectiveness of hybrid strategies for managing complex CCAO with challenging anatomical features.