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Extracranial Carotid Stent Interventional Approach

  • Jacqueline Saw
Chapter
Part of the Contemporary Cardiology book series (CONCARD)

Abstract

Carotid artery stenting (CAS) techniques and equipment have dramatically improved over the past two decades. Modern-day CAS can be performed safely with good technical success rates. Nevertheless, the CAS procedure can be challenging and warrants meticulous techniques as the resultant complications can be debilitating and life threatening. We detailed a basic step-by-step technical approach to guide operators through this challenging procedure.

Keywords

Carotid stenting Angioplasty Telescoping Emboli protection device 

References

  1. 1.
    Yadav JS, Wholey MH, Kuntz RE, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med 2004;351:1493–1501.PubMedCrossRefGoogle Scholar
  2. 2.
    Kastrup A, Groschel K, Kraph H, Brehm B, Dichgans J, Schulz J. Early outcome of carotid angioplasty and stenting with and without cerebral protection devices. A systematic review of the literature. Stroke 2003;34:813–819.PubMedCrossRefGoogle Scholar
  3. 3.
    Wholey MH, Al-Mubarek N. Updated review of the global carotid artery stent registry. Catheter Cardiovasc Interv 2003;60:259–266.PubMedCrossRefGoogle Scholar
  4. 4.
    Saw J, Casserly I, Sachar R, et al. Evaluating the optimal activated clotting time during percutaneous carotid interventions. Cathet Cardiovasc Interv 2004;62:91.Google Scholar
  5. 5.
    Folmar J, Sachar R, Mann T. Transradial approach for carotid artery stenting: a feasibility study. Catheter Cardiovasc Interv 2007;69:355–361.PubMedCrossRefGoogle Scholar
  6. 6.
    Wholey MH, Eles G, Toursakissian B, Bailey S, Jarmolowski C, Tan WA. Evaluation of glycoprotein IIb/IIIa inhibitors in carotid angioplasty and stenting. J Endovasc Ther 2003;10:33–41.PubMedCrossRefGoogle Scholar
  7. 7.
    Kopp CW, Steiner S, Nasel C, et al. Abciximab reduces monocyte tissue factor in carotid angioplasty and stenting. Stroke 2003;34:2560–2567.PubMedCrossRefGoogle Scholar
  8. 8.
    SMith DC, Simmons CR. The quick aortic turn: a rapid method for reforming the simmons sidewinder catheter. Radiology 1985:247–248.Google Scholar
  9. 9.
    Henry M, Polydorou A, Henry I, Hugel M. Carotid angioplasty under cerebral protection with the PercuSurge GuardWire System. Catheter Cardiovasc Interv 2004;61:293–305.PubMedCrossRefGoogle Scholar
  10. 10.
    Al-Mubarak N, Roubin G, Vitek J, Iyer S, New G, Leon M. Effect of the distal-balloon protection system on microembolization during carotid stenting. Circulation 2001;104:1999–2002.PubMedCrossRefGoogle Scholar
  11. 11.
    Wilentz JR, Chati Z, Krafft V, Amor M. Retinal embolization during carotid angioplasty and stenting: mechanisms and role of cerebral protection systems. Catheter Cardiovasc Interv 2002;56:320–327.PubMedCrossRefGoogle Scholar
  12. 12.
    Mathur A, Dorros G, Iyer SS, Vitek JJ, Yadav SS, Roubin GS. Palmaz stent compression in patients following carotid artery stenting. Cathet Cardiovasc Diagn 1997;41:137–140.PubMedCrossRefGoogle Scholar
  13. 13.
    Casserly IP, Abou-Chebl A, Fathi RB, et al. Slow-flow phenomenon during carotid artery intervention with embolic protection devices: predictors and clinical outcome. J Am Coll Cardiol 2005;46:1466–1472.PubMedCrossRefGoogle Scholar
  14. 14.
    Yadav JS. Technical aspects of carotid stenting. EuroPCR. Version 3 ed. Paris, 2003:1–18.Google Scholar
  15. 15.
    Chen MS, Bhatt DL, Mukherjee D, et al. Feasibility of simultaneous bilateral carotid artery stenting. Catheter Cardiovasc Interv 2004;61:437–442.PubMedCrossRefGoogle Scholar
  16. 16.
    Al-Mubarak N, Roubin GS, Vitek JJ, Gomez CR. Simultaneous bilateral carotid stenting for restenosis after endarterectomy. Cathet Cardiovasc Diagn 1998;45:11–15.PubMedCrossRefGoogle Scholar

Copyright information

© Humana Press, a part of Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Jacqueline Saw
    • 1
  1. 1.Interventional Cardiology, Division of Cardiology, Vancouver General HospitalUniversity of British ColumbiaVancouverCanada

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