Safety Aspects in Carotid Artery Stenting – Is Flow Reversal the Solution?

2007 ◽  
pp. 42
Author(s):  
Johan Formgren ◽  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Flow Reversal ◽  
Safety Aspects

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

Transcervical Carotid Stenting with Flow Reversal for Neuroprotection: Technique, Results, Advantages, and Limitations

Vascular ◽  
2006 ◽  
Vol 14 (5) ◽  
pp. 245-255 ◽  
Author(s):  
Iraklis I. Pipinos ◽  
Matias Bruzoni ◽  
Jason M. Johanning ◽  
G. Matthew Longo ◽  
Thomas G. Lynch
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Carotid Bifurcation ◽  
Carotid Stenting ◽  
Flow Reversal ◽  
Transcervical Approach ◽  
Weighted Magnetic Resonance Imaging ◽  
Carotid Occlusive Disease ◽  
Angioplasty And Stenting ◽  
Carotid Angioplasty And Stenting

Carotid angioplasty and stenting are progressively earning a role as a less invasive alternative in the treatment of carotid occlusive disease. The most common approach for carotid artery stenting involves transfemoral access and use of a filter or balloon device for neuroprotection. This approach has limitations related to both the site of access and the method of neuroprotection. Specifically, an aortoiliac segment with advanced occlusive or aneurysmal disease or an anatomically unfavorable or atheromatous arch and arch branches can significantly limit the safety of the retrograde transfemoral pathway to the carotid bifurcation. Additionally, data provided by the use of transcranial Doppler monitoring and diffusion-weighted magnetic resonance imaging in patients undergoing filter- or balloon-protected carotid artery stenting demonstrate that currently available devices are associated with a considerable incidence of cerebral embolization. To address these limitations, we, along with others, have employed a direct transcervical approach for carotid artery stenting that incorporates the principle of flow reversal for neuroprotection. The technique bypasses all of the anatomic limitations of transfemoral access and simplifies the application of flow reversal, which is one of the safest neuroprotection techniques. The purpose of this review is to describe our method of transcervical carotid artery stenting, review the accumulating outcomes data, and discuss the clinical advantages of and indications for this increasingly popular technique.

scholarly journals Transcervical Carotid Artery Stenting Without Flow Reversal: A Report of Two Cases

2019 ◽  
Vol 20 ◽  
pp. 15-20 ◽  
Author(s):  
Mahmoud Assaad ◽  
Abeer Berry ◽  
Marcel Zughaib
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Flow Reversal

Prospective, multicenter European study of the GORE flow reversal system for providing neuroprotection during carotid artery stenting

2012 ◽  
Vol 80 (7) ◽  
pp. 1060-1068 ◽  
Author(s):  
Dimitrios Nikas ◽  
Wolfgang Reith ◽  
Andrej Schmidt ◽  
Stephan Duda ◽  
Klaus Mathias ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Flow Reversal ◽  
European Study

Iatrogenic Ascending Pharyngeal Artery Injury by Predilation Balloon Inflation During Carotid Artery Stenting with Flow Reversal

2017 ◽  
Vol 106 ◽  
pp. 1053.e7-1053.e10 ◽  
Author(s):  
Junpei Koge ◽  
Tomonori Iwata ◽  
Shigehisa Mizuta ◽  
Yukihiko Nakamura ◽  
Shun-ichi Matsumoto ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Artery Stenting ◽  
Flow Reversal ◽  
Balloon Inflation ◽  
Ascending Pharyngeal Artery ◽  
Artery Injury
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