ABSTRACT

A 68-year-old man had previously undergone a right carotid endarterectomy for asymptomatic carotid stenosis, as well as an angioplasty of his left renal artery for renal stenosis. More recently, the patient developed angina pectoris with severe three-vessel stenosis on coronary angiography. After being referred for

Figure 4.1 (a) Anteroposterior angiogram of the left common carotid artery (ICA) shows severe left internal carotid artery stenosis in an asymptomatic 68-year-old man. He was referred for carotid stenting as a result of his severe coronary artery disease. (b) Lateral view shows acute angulation of the ICA origin from the common carotid artery. (a, b) The external carotid origin was straight.