Management of Simultaneous Common and Internal Carotid Artery Occlusive Disease in the Endovascular Era

Combined or tandem lesions of the common carotid artery and the ipsilateral carotid bifurcation are uncommon and the management of patients with this disease pattern can be challenging. The development of endovascular techniques has contributed a variety of options for managing these combined lesions; either as part of a hybrid approach (carotid endarterectomy and common carotid artery stent) or with stenting alone for both lesions. In this article, we review the technique and results of managing carotid revascularization in the context of tandem common carotid and internal carotid artery lesions in the endovascular era.