scholarly journals Transcervical carotid stenting with internal carotid artery flow reversal: Feasibility and preliminary results

2004 ◽  
Vol 40 (3) ◽  
pp. 476-483 ◽  
Author(s):  
Enrique Criado ◽  
Manuel Doblas ◽  
Juan Fontcuberta ◽  
Antonio Orgaz ◽  
Angel Flores ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Stenting ◽  
Flow Reversal ◽  
Preliminary Results ◽  
Artery Flow

scholarly journals Carotid angioplasty with internal carotid artery flow reversal is well tolerated in the awake patient

2004 ◽  
Vol 40 (1) ◽  
pp. 92-97 ◽  
Author(s):  
Enrique Criado ◽  
Manuel Doblas ◽  
Juan Fontcuberta ◽  
Antonio Orgaz ◽  
Angel Flores ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Flow Reversal ◽  
Carotid Angioplasty ◽  
Awake Patient ◽  
Artery Flow

Carotid Stenting: Flow Reversal Technique: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
Ricardo A Domingo ◽  
Krishnan Ravindran ◽  
Rabih G Tawk ◽  
Adam Arthur ◽  
Mark Bain ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Endarterectomy ◽  
Internal Carotid ◽  
Hybrid Approach ◽  
Carotid Stenting ◽  
Flow Reversal ◽  
Direct Access ◽  
Cranial Neuropathy ◽  
Management Options

Abstract Management options for carotid stenosis include medical management, carotid endarterectomy, carotid stenting with distal filter protection, or stenting with either flow arrest or flow reversal techniques.1 Flow reversal with transcarotid artery revascularization (TCAR) technique represents a hybrid approach with surgical access to the common carotid for endovascular placement of a stent in the internal carotid artery. This direct access to the carotid artery avoids navigating the challenging anatomy of the aortic arch with endovascular devices.2 Compared to transfemoral stenting, TCAR possesses lower risk of transient ischemic attack and stroke, and compared to carotid endarterectomy, there is less risk of cranial neuropathy.3,4  We present the case of an 87-yr-old man with recurrent severe stenosis (85%) of the right internal carotid artery. The patient had a remote history of bilateral endarterectomies for asymptomatic stenosis and was found with recurrence and progression of right internal carotid artery stenosis. Options were discussed and decision was made to proceed with TCAR after he consented for the procedure. The patient tolerated the procedure well with satisfactory revascularization. Exam remained unremarkable prior to discharge on postoperative day 1 and during follow-up at 1 mo. Patient consented to the publication of their image.

scholarly journals Fetal internal carotid artery flow velocity time waveforms in twin pregnancies

1988 ◽  
Vol 16 (5-6) ◽  
pp. 405-409 ◽  
Author(s):  
Shimon Degani ◽  
Joav Paltiely ◽  
Reuven Lewinsky ◽  
Israel Shapiro ◽  
Mordechai Sharf
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Flow Velocity ◽  
Internal Carotid ◽  
Artery Flow ◽  
Twin Pregnancies

scholarly journals The combined use of proximal and distal protection devices uring carotid stenting: A case report

2019 ◽  
Vol 23 (2) ◽  
pp. 73
Author(s):  
D. U. Malaev ◽  
D. A. Redkin ◽  
V. I. Baystrukov ◽  
A. A. Prokhorikhin ◽  
A. A. Boykov ◽  
...  
Keyword(s):  
Blood Flow ◽  
Informed Consent ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Conflict Of Interest ◽  
Internal Carotid ◽  
Carotid Stenting ◽  
Protection System ◽  
Combined Use ◽  
Proximal Protection

<p>Despite the development of modern medical technologies, cerebrovascular disease remains a major health and social issue. Among all the cases of ischemic stroke, approximately 20% are attributable to stenotic lesions in the carotid artery. The main drawback of carotid stenting is the risk of embolic complications during the procedure. To resolve this problem, various devices that protect against embolism have been developed. In this clinical case, we describe the ability to minimize the risk of operative stroke through a combined application of the distal and proximal protection systems in carotid stenting.</p><p>In our patient, a 65-year-old woman, angiography of the carotid arteries revealed an ulcerated atherosclerotic plaque of the right internal carotid artery, with stenosis of the lumen of up to 95%. Considering the high risk of distal embolism, the Mo MaUltra (Italy) proximal protection system was used. When evaluating the installation of the Mo MaUltra system, the preserved blood flow through the superior thyroid artery and, therefore, the antegrade blood flow in the internal carotid artery was revealed. Considering the identified risk and the anatomy of the plaque surface, we decided on the additional use of the distal SpiderFX (USA) protection device.</p><p>The combined use of proximal protection system and distal protective device for carotid stenting is technically possible and may reduce the risk of embolic complications.</p><p>Received 23 January 2019. Revised 18 March 2019. Published 23 April 2019.</p><p><strong>Informed consent:</strong> The patient’s informed consent to use the records for medical purposes is obtained.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> Authors declare no conflict of interest.</p>

Augmenting Regional Cerebral Blood Flow Using External-to-Internal Carotid Artery Flow Diversion Method

2009 ◽  
Vol 37 (12) ◽  
pp. 2428-2435 ◽  
Author(s):  
Afshin A. Divani ◽  
Tamara L. Berezina ◽  
Gabriela Vazquez ◽  
Sergey B. Zaets ◽  
Ramachandra Tummala ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Regional Cerebral Blood Flow ◽  
Internal Carotid ◽  
Flow Diversion ◽  
Regional Cerebral Blood ◽  
Artery Flow

Emergent carotid artery stenting using a flow reversal system for acute atherosclerotic occlusion of the internal carotid artery

2011 ◽  
Vol 153 (11) ◽  
pp. 2175-2180
Author(s):  
Kenichi Kono ◽  
Yuko Tanaka ◽  
Ryo Yoshimura ◽  
Takeshi Fujimoto ◽  
Hideo Okada ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Artery Stenting ◽  
Internal Carotid ◽  
Flow Reversal

Endovascular Treatment for Pseudo-occlusion of the Internal Carotid Artery

Neurosurgery ◽  
2006 ◽  
Vol 59 (2) ◽  
pp. 301-309 ◽  
Author(s):  
Tomoaki Terada ◽  
Mitsuharu Tsuura ◽  
Hiroyuki Matsumoto ◽  
Osamu Masuo ◽  
Tomoyuki Tsumoto ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Carotid Endarterectomy ◽  
Internal Carotid ◽  
Perioperative Complications ◽  
Carotid Stenting ◽  
Clinical Results ◽  
Transluminal Angioplasty ◽  
Embolic Protection

Abstract OBJECTIVE: The surgical benefit to pseudo-occlusion of the internal carotid artery (ICA) is controversial. Because the benefit of carotid endarterectomy for pseudo-occlusion of the ICA remains uncertain, we examined the use of carotid stenting as a possible alternative treatment for this condition. METHODS: Twenty cases of carotid pseudo-occlusion (17 symptomatic, three asymptomatic) were treated with carotid artery stenting. Nineteen patients were treated with various embolic protection techniques. Our clinical results, including angiographic follow-up data, perioperative complications, and data on the effectiveness of the embolic protection methods were studied for ICA pseudo-occlusion. RESULTS: All pseudo-occlusions were successfully dilated, and the stenotic ratio was reduced from 95 to 6.7% on average. No neurological deterioration was encountered in any of the cases, although one patient died of cardiac event 1 day after treatment. None of the patients experienced stroke during the mean 24.8 month follow-up period, although one patient died from myocardial infarction. Among the 17 cases in which follow-up angiography was performed at 6 months after stenting, only one patient demonstrated restenosis. This patient was successfully treated with repeated percutaneous transluminal angioplasty. The rate of restenosis in our series was 5.9%, and the morbidity/mortality rate within 30 days was 5%. CONCLUSION: The clinical results of carotid stenting for ICA pseudo-occlusion under embolic protection were fairly good from the viewpoints of periprocedural neurological morbidity, angiographic follow-up results, and stroke prevention. Carotid stenting can be considered an alternative to carotid endarterectomy in patients with ICA pseudo-occlusion.

scholarly journals Transcervical carotid stenting with carotid artery flow reversal: 3-year follow-up of 103 stents

2007 ◽  
Vol 46 (5) ◽  
pp. 864-869 ◽  
Author(s):  
Enrique Criado ◽  
Juan Fontcuberta ◽  
Antonio Orgaz ◽  
Angel Flores ◽  
Manuel Doblas
Keyword(s):  
Carotid Artery ◽  
Carotid Stenting ◽  
Flow Reversal ◽  
Artery Flow
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