Skip to main content
SpringerLink
Log in

Endovascular Treatment of Extracranial Atherosclerotic Disease

  • Chapter
  • First Online:
Neurointervention in the Medical Specialties

Part of the book series: Current Clinical Neurology ((CCNEU))

  • 1627 Accesses

Abstract

Endovascular treatment of neurovascular occlusive disease is among the most exciting and rapidly developing therapeutic arenas. It involves the percutaneous use of balloon dilatation (angioplasty, PTA) catheters and/or stents to recanalize stenotic vessels. This method is appealing because it is less invasive than open surgery (e.g., carotid endarterectomy (CEA) or extracranial–intracranial bypass) and can potentially treat lesions that would otherwise be surgically untreatable.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. North American Symptomatic Carotid Endarterectomy Trial C. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med. 1991;325(7):445–53.

    Article  Google Scholar 

  2. Group SC, Ringleb PA, Allenberg J, Bruckmann H, Eckstein HH, Fraedrich G, et al. 30 day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non-inferiority trial. Lancet. 2006;368(9543):1239–47.

    Article  Google Scholar 

  3. Henry M, Amor M, Henry I, Klonaris C, Chati Z, Masson I, et al. Carotid stenting with cerebral protection: first clinical experience using the PercuSurge GuardWire system. J Endovasc Surg. 1999;6(4):321–31.

    Article  CAS  PubMed  Google Scholar 

  4. Parodi JC, La Mura R, Ferreira LM, Mendez MV, Cersosimo H, Schonholz C, et al. Initial evaluation of carotid angioplasty and stenting with three different cerebral protection devices. J Vasc Surg. 2000;32(6):1127–36.

    Article  CAS  PubMed  Google Scholar 

  5. Jordan Jr WD, Schroeder PT, Fisher WS, McDowell HA. A comparison of angioplasty with stenting versus endarterectomy for the treatment of carotid artery stenosis. Ann Vasc Surg. 1997;11(1):2–8.

    Article  PubMed  Google Scholar 

  6. Naylor AR, Bolia A, Abbott RJ, Pye IF, Smith J, Lennard N, et al. Randomized study of carotid angioplasty and stenting versus carotid endarterectomy: a stopped trial. J Vasc Surg. 1998;28(2):326–34.

    Article  CAS  PubMed  Google Scholar 

  7. Gurm HS, Yadav JS, Fayad P, Katzen BT, Mishkel GJ, Bajwa TK, et al. Long-term results of carotid stenting versus endarterectomy in high-risk patients. N Engl J Med. 2008;358(15):1572–9.

    Article  CAS  PubMed  Google Scholar 

  8. Young B, Moore WS, Robertson JT, Toole JF, Ernst CB, Cohen SN, et al. An analysis of perioperative surgical mortality and morbidity in the asymptomatic carotid atherosclerosis study. ACAS Investigators. Asymptomatic Carotid Atherosclerosis Study. Stroke. 1996;27(12):2216–24.

    Article  CAS  PubMed  Google Scholar 

  9. Gray WA, Yadav JS, Verta P, Scicli A, Fairman R, Wholey M, et al. The CAPTURE registry: results of carotid stenting with embolic protection in the post approval setting. Catheter Cardiovasc Interv. 2007;69(3):341–8.

    Article  PubMed  Google Scholar 

  10. Katzen BT, Criado FJ, Ramee SR, Massop DW, Hopkins LN, Donohoe D, et al. Carotid artery stenting with emboli protection surveillance study: thirty-day results of the CASES-PMS study. Catheter Cardiovasc Interv. 2007;70(2):316–23.

    Article  PubMed  Google Scholar 

  11. Ca RSC. Carotid revascularization using endarterectomy or stenting systems (CaRESS) phase I clinical trial: 1-year results. J Vasc Surg. 2005;42(2):213–9.

    Article  Google Scholar 

  12. Eckstein HH, Ringleb P, Allenberg JR, Berger J, Fraedrich G, Hacke W, et al. Results of the stent-protected angioplasty versus carotid endarterectomy (SPACE) study to treat symptomatic stenoses at 2 years: a multinational, prospective, randomised trial. Lancet Neurol. 2008;7(10):893–902.

    Article  PubMed  Google Scholar 

  13. Mas JL, Trinquart L, Leys D, Albucher JF, Rousseau H, Viguier A, et al. Endarterectomy versus angioplasty in patients with symptomatic severe carotid stenosis (EVA-3S) trial: results up to 4 years from a randomised, multicentre trial. Lancet Neurol. 2008;7(10):885–92.

    Article  PubMed  Google Scholar 

  14. International Carotid Stenting Study investigators, Ederle J, Dobson J, Featherstone RL, Bonati LH, van der Worp HB, et al. Carotid artery stenting compared with endarterectomy in patients with symptomatic carotid stenosis (International Carotid Stenting Study): an interim analysis of a randomised controlled trial. Lancet. 2010;375(9719):985–97.

    Article  PubMed  Google Scholar 

  15. Brott TG, Hobson 2nd RW, Howard G, Roubin GS, Clark WM, Brooks W, et al. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010;363(1):11–23.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  16. Hopkins LN, Roubin GS, Chakhtoura EY, Gray WA, Ferguson RD, Katzen BT, et al. The Carotid Revascularization Endarterectomy versus Stenting Trial: credentialing of interventionalists and final results of lead-in phase. J Stroke Cerebrovasc Dis. 2010;19(2):153–62.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Lal BK, Beach KW, Roubin GS, Lutsep HL, Moore WS, Malas MB, et al. Restenosis after carotid artery stenting and endarterectomy: a secondary analysis of CREST, a randomised controlled trial. Lancet Neurol. 2012;11(9):755–63.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Bosiers M, de Donato G, Deloose K, Verbist J, Peeters P, Castriota F, et al. Does free cell area influence the outcome in carotid artery stenting? Eur J Vasc Endovasc Surg. 2007;33(2):135–41. discussion 42–3.

    Article  CAS  PubMed  Google Scholar 

  19. Stabile E, Salemme L, Sorropago G, Tesorio T, Nammas W, Miranda M, et al. Proximal endovascular occlusion for carotid artery stenting: results from a prospective registry of 1,300 patients. J Am Coll Cardiol. 2010;55(16):1661–7. Epub 2010/04/17.

    Article  PubMed  Google Scholar 

  20. Bersin RM, Stabile E, Ansel GM, Clair DG, Cremonesi A, Hopkins LN, et al. A meta-analysis of proximal occlusion device outcomes in carotid artery stenting. Catheter Cardiovasc Interv. 2012;80(7):1072–8.

    Article  PubMed  Google Scholar 

  21. Giri J, Kennedy KF, Weinberg I, Hawkins BM, Press MC, Drachman D, et al. Comparative effectiveness of commonly used devices for carotid artery stenting: an NCDR Analysis (National Cardiovascular Data Registry). J Am Coll Cardiol Intv. 2014;7(2):171–7.

    Article  Google Scholar 

  22. Aronow HD, Gray WA, Ramee SR, Mishkel GJ, Schreiber TJ, Wang H. Predictors of neurological events associated with carotid artery stenting in high-surgical-risk patients: insights from the Cordis Carotid Stent Collaborative. Circ Cardiovasc Interv. 2010;3(6):577–84.

    Article  PubMed  Google Scholar 

  23. Rothwell PM, Eliasziw M, Gutnikov SA, Warlow CP, Barnett HJ, Carotid Endarterectomy Trialists C. Endarterectomy for symptomatic carotid stenosis in relation to clinical subgroups and timing of surgery. Lancet. 2004;363(9413):915–24.

    Article  CAS  PubMed  Google Scholar 

  24. Abou-Chebl A, Yadav JS, Reginelli JP, Bajzer C, Bhatt D, Krieger DW. Intracranial hemorrhage and hyperperfusion syndrome following carotid artery stenting: risk factors, prevention, and treatment. J Am Coll Cardiol. 2004;43(9):1596–601.

    Article  PubMed  Google Scholar 

  25. Abou-Chebl A, Reginelli J, Bajzer CT, Yadav JS. Intensive treatment of hypertension decreases the risk of hyperperfusion and intracerebral hemorrhage following carotid artery stenting. Catheter Cardiovasc Interv. 2007;69(5):690–6.

    Article  PubMed  Google Scholar 

  26. Lin R, Mazighi M, Yadav J, Abou-Chebl A. The impact of timing on outcomes of carotid artery stenting in recently symptomatic patients. J Neurointerv Surg. 2010;2(1):55–8.

    Article  CAS  PubMed  Google Scholar 

  27. Gupta R, Abou-Chebl A, Bajzer CT, Schumacher HC, Yadav JS. Rate, predictors, and consequences of hemodynamic depression after carotid artery stenting. J Am Coll Cardiol. 2006;47(8):1538–43.

    Article  PubMed  Google Scholar 

  28. Theron J, Courtheoux P, Alachkar F, Bouvard G, Maiza D. New triple coaxial catheter system for carotid angioplasty with cerebral protection. AJNR Am J Neuroradiol. 1990;11(5):869–74. discussion 75–7.

    CAS  PubMed  Google Scholar 

  29. Wholey MH, Al-Mubarek N, Wholey MH. Updated review of the global carotid artery stent registry. Catheter Cardiovasc Interv. 2003;60(2):259–66.

    Article  PubMed  Google Scholar 

  30. Veeraswamy RK, Rubin BG, Sanchez LA, Curi MA, Geraghty PJ, Parodi JC, et al. Complications of carotid artery stenting are largely preventable: a retrospective error analysis. Perspect Vasc Surg Endovasc Ther. 2007;19(4):403–8.

    Article  PubMed  Google Scholar 

  31. Roubin GS, New G, Iyer SS, Vitek JJ, Al-Mubarak N, Liu MW, et al. Immediate and late clinical outcomes of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis: a 5-year prospective analysis. Circulation. 2001;103(4):532–7.

    Article  CAS  PubMed  Google Scholar 

  32. Terada T, Tsuura M, Matsumoto H, Masuo O, Yamaga H, Tsumoto T, et al. Results of endovascular treatment of internal carotid artery stenoses with a newly developed balloon protection catheter. Neurosurgery. 2003;53(3):617–23. discussion 23–5.

    Article  PubMed  Google Scholar 

  33. Reimers B, Corvaja N, Moshiri S, Sacca S, Albiero R, Di Mario C, et al. Cerebral protection with filter devices during carotid artery stenting. Circulation. 2001;104(1):12–5.

    Article  CAS  PubMed  Google Scholar 

  34. Maldonado TS, Loh S, Fonseco R, Poblete H, Adelman MA, Cayne NS, et al. Incidence and outcome of filter occlusion during carotid artery stent procedure. Ann Vasc Surg. 2008;22(6):756–61.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Stroke Program, Baptist Health Hospital, 3900 Kresge Way, Louisville, 40207, KY, USA

    Alex Abou-Chebl M.D.

  2. Department of Neurology, University of Toledo Medical Center, 3000 Arlington Avenue, Mail Stop 1195, Toledi, OH, 43614, USA

    Mouhammad A. Jumaa M.D.

Authors
  1. Alex Abou-Chebl M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mouhammad A. Jumaa M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alex Abou-Chebl M.D. .

Editor information

Editors and Affiliations

  1. Department of Neurology and Psychiatry, Saint Louis University, St. Louis, Missouri, USA

    Randall C. Edgell

  2. Department of Neurology, University of Texas Health Science Center, UT-HEALTH, Houston, Texas, USA

    Sean I. Savitz

  3. Department of Neurosurgery, Albany Medical Center, Albany, New York, USA

    John Dalfino

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Abou-Chebl, A., Jumaa, M.A. (2015). Endovascular Treatment of Extracranial Atherosclerotic Disease. In: Edgell, R., Savitz, S., Dalfino, J. (eds) Neurointervention in the Medical Specialties. Current Clinical Neurology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-1942-0_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1942-0_4

  • Published:

  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-1941-3

  • Online ISBN: 978-1-4939-1942-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation