PMC3130457_01
(a) Angiography: severe stenosis of the left carotid artery. (b) Angioplasty with stenting - final result.
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F1
Carotid and vertebral arteries duplex scan, MRA and digital angiography showed severe bilateral carotid stenosis in the neck[Figure 1 (a)]. Ireland). It was followed by the deployment of a 7 x 30 mm wall stent (Boston Scientific, Gailway, Ireland) and post dilatation was achieved with a 6.0 x 20 mm Gazzelle balloon (Boston Scientific, Mountainview, CA) yielding a satisfactory technical result[Figure 1(b)].
Surgery: a saphenous vein graft was placed between the common and the internal carotid arteries. The pseudoaneurysm was isolated with a vascular clamp across the proximal common carotid artery and a clip was placed in the internal and external carotid arteries
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F2
Reconstruction of the internal carotid artery was accomplished with a saphenous vein graft between the common and internal carotid arteries[Figure 2]. 
Postoperative MRA of the cervical vessels showing the patency of the graft in the left side.
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F3
A postoperative MRA showed saphenous graft patency[Figure 3].