Skip to main content
SpringerLink
Log in

Retrieval of the Protection Filter with a Soft Coaxial Catheter After Carotid Stenting

  • Technical Note
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

The purpose of this study was to shorten and simplify the procedure of filter retrieval after carotid stenting with cerebral protecting devices. We propose a retrieval method with a soft-tip guiding catheter, which eliminates the step of balloon exchange and introduction of a retriever catheter for the protection filter. The technique was successfully used in our last 60 consecutive patients. One transient deficit occurred. In conclusion, retrieval of the filter with a soft coaxial catheter after carotid stenting is a feasible and safe method and may simplify cerebrovascular protection during stenting.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. CAVATAS (2001) Endovascular versus surgical treatment in patients with carotid stenosis in the carotid and vertebral artery transluminal angioplasty study (CAVATAS): a randomised trial. Lancet 357(9270):1729–1737

    Article  Google Scholar 

  2. Krapf H, Nagele T, Kastrup A et al (2006) Risk factors for periprocedural complications in carotid artery stenting without filter protection A serial diffusion-weighted MRI study. J Neurol 253:364–371

    Article  PubMed  Google Scholar 

  3. Castriota F, Cremonesi A, Manetti R et al (2002) Impact of cerebral protection devices on early outcome of carotid stenting. J Endovasc Ther 9(6):786–792

    Article  PubMed  Google Scholar 

  4. Angelini A, Reimers B, Della Barbera M et al (2002) Cerebral protection during carotid artery stenting: collection and histopathologic analysis of embolized debris. Stroke 33(2):456–461

    Article  PubMed  Google Scholar 

  5. Parodi JC, Schonholz C, Ferreira LM, Mendaro E, Ohki T (2002) “Seat belt and air bag” technique for cerebral protection during carotid stenting. J Endovasc Ther 9(1):20–24

    Article  PubMed  Google Scholar 

  6. Al-Mubarak N, Colombo A, Gaines P et al (2002) Multicenter evaluation of carotid artery stenting with a filter protection system. J Am Coll Cardiol 39(5):841–846

    Article  PubMed  Google Scholar 

  7. Cremonesi A (2005) The SPIDER embolic protection device performance evaluation in the carotid artery during percutaneous transluminal angioplasty and or stenting. J Invas Cardiol 17(9):463–467

    Google Scholar 

  8. Angelini ARB, Della Barbera M, Sacca S, Pasquetto G, Cernetti C, Valente M, Thiene G (2002) Cerebral protecion during carotid stentin: collection and histopathologic analysis of embolized debris. Stroke 33(2):456–461

    Article  PubMed  Google Scholar 

  9. Ouriel K, Wholey MH, Fayad P et al Feasibility trial of carotid stenting with and without an embolus protection device. J Endovasc Ther 12(5):525–537

  10. Reimers B, Schluter M, Castriota F et al (2004) Routine use of cerebral protection during carotid artery stenting: results of a multicenter registry of 753 patients. Am J Med 116(4):217–222

    Article  PubMed  Google Scholar 

  11. Yadav JS, Wholey MH, Kuntz RE, Fayad P, Katzen BT (2004), The stenting, angioplasty with protection in patients at high risk for endarterectomy investigators. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med 351:1493–1501

    Google Scholar 

  12. SPACE Collaborative Group (2006) Thirty-day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non-inferiority trial. Lancet 368:1239–1247

    Article  Google Scholar 

  13. The EVA-S Investigators (2006) Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. N Engl J Med 355:1660–1671

    Article  Google Scholar 

  14. Cremonesi A, Manetti R, Setacci F, Setacci C, Castriota F (2003) Protected carotid stenting: clinical advantages and complications of embolic protection devices in 442 consecutive patients. Stroke 34(8):1936–1941

    Article  PubMed  Google Scholar 

  15. Boltuch J, Sabeti S, Amighi J et al (2005) Procedure-related complications and early neurological adverse events of unprotected and protected carotid stenting: temporal trends in a consecutive patient series. J Endovasc Ther 12(5):538–547

    Article  PubMed  Google Scholar 

  16. Cardaioli P, Giordan M, Panfili M, Chioin R (2004) Complication with an embolic protection device during carotid angioplasty. Catheter Cardiovasc Interv 62(2):234–236

    Article  PubMed  Google Scholar 

  17. Ganim RP, Muench A, Giesler GM, Smalling RW (2006) Difficult retrieval of the EPI filterwire with a 5 French FR4 coronary catheter following carotid stenting. Catheter Cardiovasc Interv 67(2):309–311

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neuroradiology, University Hospital, Friedrich-Schiller-University Jena (FSU), Erlanger Allee 101, 07747, Jena, Germany

    Thomas E. Mayer

  2. Department of Neuroradiology, Klinikum Grosshadern, University of Munich (LMU), Marchioninistr. 15, 81377, Munchen, Germany

    Markus Holtmannspötter & Stefanie Müller-Schunk

Authors
  1. Thomas E. Mayer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Markus Holtmannspötter
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Stefanie Müller-Schunk
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Thomas E. Mayer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mayer, T.E., Holtmannspötter, M. & Müller-Schunk, S. Retrieval of the Protection Filter with a Soft Coaxial Catheter After Carotid Stenting. Cardiovasc Intervent Radiol 32, 136–138 (2009). https://doi.org/10.1007/s00270-008-9349-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-008-9349-x

Keywords

Search

Navigation