Intraoperative stenting of the internal carotid artery after unsuccessful eversion endarterectomy

Stenting of the internal carotid artery (ICA) has been shown to be feasible in atherosclerotic lesions, in restenosis after carotid endarterectomy, and in spontaneous carotid dissections. To correct an intimal flap that detached distal occlusion of the ICA after eversion carotid endarterectomy, as shown with intraoperative completion angiography, we successfully used stenting of the ICA with a self-expandable stainless steel stent placed during surgery through the common carotid artery.