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Acute Carotid Artery Occlusion J. Fruhmann, T. Cohnert

A 74-year-old woman suffered acute ischemia of both arms, which she was unable to move, and embolic occlusion of her right carotid artery with subsequent thrombosis of the internal carotid artery (ICA). Computed tomography angiography revealed bilateral occlusions: right subclavian artery, right common carotid artery (CCA), right vertebral artery and left subclavian artery. She underwent embolectomy of both subclavian axillary arteries through brachial access, and a revision of the right carotid artery with eversion ICA endarterectomy, CCA embolectomy, and distal ICA catheter thrombectomy, which were primarily successful. Unfortunately, the patient died on postoperative day 39 after recurrent bilateral cerebral embolization.

1078-5884/$ e see front matter Ó 2014 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.ejvs.2014.08.030

Acute carotid artery occlusion.

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