Common Carotid Artery Occlusion Treatment Case Reports

Jung‑Chi Hsu et al., 2020 (CVIR Endovascular) Two patients with symptomatic total CCAO were treated with:

• Percutaneous transluminal angioplasty
• Carotid stenting with distal protection
• Intravascular ultrasound (IVUS) guidance

Outcome: Technical success with symptom resolution and patent stents on follow-up.

Qingjun Jiang et al., 2022 (Frontiers in Surgery) 67-year-old woman with limb-shaking TIA underwent:

• Retrograde ring-stripper endarterectomy for long-segment CCAO

Outcome: Restored cerebral perfusion and complete symptom resolution.

Surgical Neurology International Two cases of symptomatic CCAO treated with:

• Carotid endarterectomy (CEA)
• L-shaped partial sternotomy for proximal exposure

Outcome: Uncomplicated recovery with mRS ≤ 3 at discharge.

Journal of Vascular Surgery (2007–2008) Described hybrid approach combining:

• Ring-stripper-assisted CEA
• Carotid artery stenting

Outcome: Successful revascularization and improved flow in symptomatic CCAO.

Multiple reports (ScienceDirect, ~2005) Bypass procedures performed:

• Axilloaxillary bypass for bilateral CCAO
• Subclavian–ICA bypass with saphenous vein grafts

Outcome: Durable graft patency and stroke prevention in mid-term follow-up.

• Endovascular therapy is feasible and minimally invasive for selected cases.
• Hybrid and surgical approaches remain essential for complex proximal occlusions.
• Individualized treatment depends on anatomy, symptoms, and collateral status.