Safety and feasibility of simultaneous ipsilateral proximal carotid artery stenting and XXXX coiling.

@entity1 @entity64 @entity2998 @entity439 @entity438
Coexistence of @entity438 and @entity2998 may be encountered in clinical practice. Theoretical increase in aneurysmal blood flow may increase risk of @entity2998 is treated first. If @entity439 coiling is performed first, @entity64 risk may increase while repeatedly crossing the diseased artery. It is controversial which disease to treat first, and whether it is safe to treat both simultaneously via endovascular procedures. We document the safety and feasibility of such an approach. Review of collected neurointerventional database at our institution was performed for @entity1 who underwent both carotid artery stenting (CAS) and @entity439 ( @entity439 ) simultaneously. All @entity1 underwent carotid stenting followed by @entity439 coiling in the same setting. Demographic, clinical data, and outcome measures including success rate and periprocedural complications were collected. Five hundred and ninety @entity439 coiling were screened for @entity1 who underwent combined CAS and @entity439 . Ten @entity1 were identified. Mean age was 67.7   years (range 51-89). The success rate for stenting and coiling was 100% with no immediate complications. The coiling procedure time was extended by an average of 45   min for performing both procedures jointly. No @entity64 , TIAs, or aneurysmal rebleeding was found on their most recent follow up. Our case series demonstrates that it is safe and feasible to perform CAS and @entity439 simultaneously as one procedure which may avoid unwanted risk of treating either disease at two separate time sessions.
