Man, 62 years, past smoking, dyslipidemia, HTN
1986: oropharyngeal cancer
Positive treadmill stress test
No neurological symptoms but rapid worsening of a severe left common carotid artery
CT scan: confirms the severity of the lesion, witch seems to be limited to the left common carotid artery with no extension beyond to the bifurcation
Fast worsening of a severe stenosis
High surgical risk (post radiotherapy neck, CAD)