Internal to External Carotid Artery Transposition to Repair Recurrent Stenosis after Carotid Artery Stenting

2001 ◽  
Vol 15 (2) ◽  
pp. 233-236 ◽  
Author(s):  
Norman H. Kumins ◽  
Steven R. Sparks ◽  
John J. Bergan ◽  
Erik L. Owens
2007 ◽  
Vol 14 (2) ◽  
pp. 208-213 ◽  
Author(s):  
Edward Y. Woo ◽  
Jagajan Karmacharya ◽  
Omaida C. Velazquez ◽  
Jeffrey P. Carpenter ◽  
Christopher L. Skelly ◽  
...  

2020 ◽  
Vol 26 (6) ◽  
pp. 719-724
Author(s):  
Ryuta Yasuda ◽  
Naoki Toma ◽  
Yume Suzuki ◽  
Yoichi Miura ◽  
Masato Shiba ◽  
...  

Background It is often hard to navigate a 9 French (F) balloon guiding catheter in patients with type III or bovine aortic arch. Also, a common carotid artery stenosis is challenging, because a guidewire cannot be advanced distally. We developed the combination of a 4F Simmons-type catheter and a 6F distal access catheter as a coaxial inner catheter to navigate a 9F balloon guiding catheter to overcome these difficulties. Materials and methods Medical record at our institution was retrospectively reviewed and carotid artery stenting cases in which the 4F Simmons-6F distal access catheter system was employed as a coaxial catheter to navigate a 9F balloon guiding catheter were identified. To construct this system, a 4F 145 cm SY3 (Hanako Medical, Saitama, Japan) and a 6F 118 cm Cerulean DD6 (Medikit Co. Ltd., Tokyo, Japan) were usually employed. A rotating hemostatic valve should be as short as possible and was attached to only a 9F balloon guiding catheter. The length of a 0.035-in. guidewire needed to be 180 cm or longer. Results During the study period, 106 carotid artery stenting cases were identified. Of these, this system was employed in 29 cases that included 5 cases with a steno-occlusive lesion at common carotid artery/external carotid artery, 10 with type III or bovine arch, and 11 harboring both. In all the cases, a 9F balloon guiding catheter was successfully navigated. Conclusion The 4F Simmons-6F distal access catheter system was useful in navigating a 9F balloon guiding catheter in patients with a common carotid artery stenosis, an external carotid artery occlusion, and an in-stent restenosis, especially when they also harbored type III or bovine aortic arch.


2018 ◽  
Vol 31 (5) ◽  
pp. 504-508 ◽  
Author(s):  
Kotaro Kohara ◽  
Tatsuya Ishikawa ◽  
Tomonori Kobayashi ◽  
Takakazu Kawamata

Retinal artery occlusion associated with carotid artery stenosis is well known. Although it can also occur at the time of carotid artery stenting, retinal artery occlusion via the collateral circulation of the external carotid artery is rare. We encountered two cases of retinal artery occlusion that were thought to be caused by an embolus from the external carotid artery during carotid artery stenting with a distal embolic protection device for the internal carotid artery. A 71-year-old man presented with central retinal artery occlusion after carotid artery stenting using the Carotid Guardwire PS and a 77-year-old man presented with branch retinal artery occlusion after carotid artery stenting using the FilterWire EZ. Because additional new cerebral ischaemic lesions were not detected in either case by postoperative diffusion-weighted magnetic resonance imaging, it was highly likely that the debris that caused retinal artery occlusion passed through not the internal carotid artery but collaterals to retinal arteries from the external carotid artery, which was not protected by a distal embolic protection device. It is suggested that a distal protection device for the internal carotid artery alone cannot prevent retinal artery embolisation during carotid artery stenting and protection of the external carotid artery is important to avoid retinal artery occlusion.


2007 ◽  
Vol 45 (6) ◽  
pp. 1288
Author(s):  
G.J. de Borst ◽  
J.A. Vos ◽  
B. Reichmann ◽  
W.E. Hellings ◽  
J.P.P.M. de Vries ◽  
...  

2001 ◽  
Vol 51 (2) ◽  
pp. 135-139
Author(s):  
Tamiyuki Obayashi ◽  
Kiyomitsu Yasuhara ◽  
Tetsuya Koyano ◽  
Nobuyuki Tanaka ◽  
Daigo Tsukioka ◽  
...  

2003 ◽  
Vol 38 (5) ◽  
pp. 1039-1044 ◽  
Author(s):  
Andrea Willfort-Ehringer ◽  
Ramazanali Ahmadi ◽  
Diego Gruber ◽  
Michael E Gschwandtner ◽  
Angelika Haumer ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document