Multilevel Atherosclerotic Disease

Multilevel atherosclerotic disease involving origin of bracheocephalic artery and ipsilateral internal carotid artery is uncommon, but can lead to therapeutic dilemma when it comes to management decision making for treating physician and surgeons. A recently devised single stage procedure with carotid enarterectomy and retrograde stenting is becoming a more popular choice, as it is least invasive and carries less morbidity and mortality. A build up of cholesterol plaque in the walls of arteries, causing obstruction of blood flow. Plaques may rupture, causing acute occlusion of the artery by clot. plaque ruptures or the build-up is severe enough to block blood flow.    

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