Patient Y., 80 years old. BMI: 34.60 kg / m² Complaints: pain in the lower extremities when walking up to 30m. Numbness of the face, fingers of the left hand.
Preoperative ultrasound examination of the carotid arteries revealed an increase in the linear blood flow velocity in the internal carotid artery of 320 cm / sec; therefore, a decision was made to perform a simultaneous angiography of the arteries of the lower extremities and brachiocephalic arteries.
Our solution: сarotid endarterectomy under conduction anesthesia (without sedation, without intubation). In the absence of complications after carotid endarterectomy transit to hybrid surgery of PAD: iliac artery stenting + femoro-popliteal bypass grafting in situ left.
Thus, in an 80-year-old patient with a history of stroke, ischemia of both lower extremities, we managed to improve blood circulation in both lower extremities in different ways and to perform brain revascularization.