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    An anchoring technique by looping with the tip of a super-stiff wire: May be a solution in patients with anomaly of the aortic arch and tortuous carotid artery disease?
    (2013) Barutcu, Ahmet; Gazi, Emine; Aksu, Feyza; Tatli, Ersan
    Vascular anatomy is one of the most important factors for the successful carotid artery interventions, either angioplasty or stenting. We report a new technique for advancing a guiding catheter into the common carotid artery when there is an unfavourable aortic arch anatomy and tortuosity of the carotid artery. Copyright 2013 BMJ Publishing Group. All rights reserved.
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    Covered stents may provide extra protection during carotid artery stenting in high risk patients with an excessive thrombus burden
    (2013) Tatli, Ersan; Barutcu, Ahmet; Gazi, Emine; Gunduz, Yasemin
    Carotid artery disease is an important cause of mortality and morbidity related to atherosclerosis. Recently, percutaneous intervention procedures have been widely used to treat atherosclerotic carotid artery disease. We report the case of a 57-year-old male patient with a history of acute amaurosis fugax. Carotid angiography was performed as blood pressure differed between his left and right arms and there was a pan-systolic murmur on the left common carotid artery. Total occlusion of the proximal right brachiocephalic artery and a thrombus occluding 90-99% of the left internal carotid artery were detected by carotid angiogram. A self-expanding graft-covered stent was successfully implanted and there were no complications. This case shows that graft-covered stents may be a good alternative technique in special situations. Copyright 2013 BMJ Publishing Group. All rights reserved.