This case report discusses the diagnostic and therapeutic approach for a complex patient presenting with concomitant post-endarterectomy carotid pseudoaneurysm and contralateral symptomatic stenosis.
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May guide individualized care in rare dual carotid lesions; leaves open need for systematic validation.
BACKGROUND: A 74-year-old male patient complaining of crescendo TIAs, hypertension and hyperlipidaemia. INVESTIGATION: Duplex ultrasound scan MR angiography. DIAGNOSIS: Pseudoaneurysm stemming from the ICA. TREATMENT: An open or endovascular procedure for the right pECCA repair, or a left CEA or CAS.
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Bracale et al. (2010) studied this question.
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