Simultaneous Stent Placement at the Common Carotid Artery and Ipsilateral Internal Carotid in a Critically Compromised Bilateral Carotid Circulation: A Rare Case Report

Takayasu arteritis does contribute to numbers in some specific geographic areas, while atherosclerosis is the most common cause of carotid artery disease. Carotid artery circulation may become complicated by conditions of severe forms. Bilateral or unilateral internal carotid artery stenosis might present. The therapy of patients with this disease pattern can be difficult since simultaneous lesions of the common carotid artery and the ipsilateral internal carotid bifurcation are uncommon. Effective treatments include invasive treatments including carotid artery stenting and carotid endarterctomy as well as antiplatelets, statins, and anticoagulation. In the present case, patient had the history of transient ischemic attack and in the magnetic resonance imaging, the right internal carotid artery was blocked while the left common and internal carotid arteries had significant stenosis. Successful balloon dilatation and stenting of the patient's ipsilateral common and internal carotid arteries were performed.