Carotid endarterectomy and patch angioplasty, utilizing a segment of autogenous endarterectomized superficial femoral artery. A case report.

A case of a male patient, who had undergone a left internal carotid endarterectomy and arterial patch angioplasty is presented. After endarterectomy, arteriotomy was completed with a patch taken from the initial segment of a completely occluded superficial femoral artery, which was properly endarterectomized. The technique of arterial patch endarterectomy preservation is described and special emphasis is given to the advantages of deep endarterectomy on the possible beneficial long-term patency, as well as the availability of this autogenous material, in cases where the SFA artery is completely occluded.