one-stage angioplasty and stenting of ostium of left common carotid artery and stenting of left internal carotid artery

our aim was to report techniques and our experience in one-stage angioplasty and stenting of ostium of left common carotid and left internal carotid arteries in an octogenarian man with transient ischemic attack, who was completely recovered from neurologic insults short time after the procedure. an 81-year-old man presented with a transient ischemic attack. neurologic examination showed left side transient visual obscuration or amaurosis fugax and right hemiparesis. carotid duplex imaging revealed an 80% stenosis of the left internal carotid artery (lica) and 95 % of the ostium of left common carotid artery (left cca). immediate brain mri wasn’t possible. angioplasty and stenting of both lesions (left cca and lica ) was performed successfully without complications in one session. stenting of common carotid artery ostial lesion and internal carotid artery (due to significant lesion) in one session could be done even in acute neurologic phase and also in very old patients, provided that, considering technical ways for neuroprotection and avoidance of other complications.