Summary
Stroke is the third leading cause of death in the western world. One of the most common causes of stroke is atherosclerotic cerebrovascular disease. The treatment of choice has traditionally been surgical endarterectomy or bybass to restore the cerebral circulation. Those patients at high surgical risk or with surgically inaccessible lesions require an alternative procedure. Over the past several years, percutaneous angioplasty methods have been attempted; however, the potential for dislodging the thrombus and plaque to the distal cerebral circulation has blocked the progress of this nonsurgical intervention. Recently, an IVT atherectomy catheter with a suction device for removal of debris during the cutting of the atheroma, has been developed. We produced and treated an animal model with carotid stenosis with the atherectomy device to determine the safety and feasibility of using it in the treatment of carotid stenosis.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Constantinides P, Booth J, Carlson G (1960) Production of advanced cholesterol atherosclerosis in the rabbit. Arch Pathol 70: 712–724
Wojcicki J, Samochowiec L, Jaworska M (1985) A search for a model of experimental atherosclerosis comparative studies in rabbits, guinea pigs and rats. Pol J Pharmacol Pharm 37:11–21
Simpson JB, Johnson DE, Tha Pliyal HV, Mark DS, Braden LJ (1985) Transluminal atherectomy: a new approach to the treatment of atherosclerotic vascular disease. Circulation 72 [Suppl 3]:146
Kensey K, Nash J, Abrahams C, Zarins CK (1987) Recanalization of obstructive arteries with a flexible rotating tip catheter. Radiology 165:387–389
Schwarten DE, Katzen BT, Simpson JB, Cutcliff WB (1988) Simpson catheter for percutaneous transluminal removal of atheroma. AJR 150:799–801
Snyder SO Jr (1988) The Kensey catheter: preliminary result with a transluminal atherectomy tool. J Vasc Surg 8:541–543
Simpson JB, Selmon MR, Roberts MG, Cipriano PR, Hay-den WG, Johnson DE (1988) Transluminal atherectomy for occlusive peripheral vascular disease. Am J Cardiol 61: 966–1016
Belli AM, Cumberland DC (1989) Percutaneous atherectomy — early experience in Sheffield. Clin Radiol 40:122–126
Langes K, Schofer J, Bleifield W, Mathey DG (1989) Catheter atherectomy-functional results in peripheral arterial disease. Angiology 40:830–834
Wholey MH, Smith JAM, Godlewski P, Nagurka M (1989) Re-canalization of total arterial occlusions with Kensey dynamic angioplasty catheter. Radiology 172: 95–98
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer-Verlag
About this paper
Cite this paper
Tsai, F.Y., Nakashima, H., Wadley, D., Myers, T.V., Huang, JY. (1991). IVT atherectomy with suction for treatment of carotid stenosis: experimental study. In: du Boulay, G., Molyneux, A., Moseley, I. (eds) Proceedings of the XIV Symposium Neuroradiologicum. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-49329-4_21
Download citation
DOI: https://doi.org/10.1007/978-3-642-49329-4_21
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-49331-7
Online ISBN: 978-3-642-49329-4
eBook Packages: Springer Book Archive