Abstract
Distal embolization occurs routinely during carotid artery stenting (CAS), and some of these debris may result in devastating neurologic complications. The use of an emboli protection device (EPD) is crucial to reduce distal embolization, and has been shown in nonrandomized studies to decrease stroke or death event rates by two to three times during CAS. This chapter reviews both the filter and balloon occlusion EPD.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ohki T, Marin ML, Lyon RT, et al. Ex vivo human carotid artery bifurcation stenting: correlation of lesion characteristics with embolic potential. J Vasc Surg 1998;27:463–471.
Wholey MH, Al-Mubarek N. Updated review of the global carotid artery stent registry. Catheter Cardiovasc Interv 2003;60:259–266.
Kastrup A, Groschel K, Kraph H, Brehm B, Dichgans J, Schulz J. Early outcome of carotid angio-plasty and stenting with and without cerebral protection devices. A systematic review of the literature. Stroke 2003;34:813–819.
Jordan WD, Jr., Voellinger DC, Doblar DD, Plyushcheva NP, Fisher WS, McDowell HA. Microemboli detected by transcranial Doppler monitoring in patients during carotid angioplasty versus carotid endarterectomy. Cardiovasc Surg 1999;7:33–38.
Al-Mubarak N, Roubin G, Vitek J, Iyer S, New G, Leon M. Effect of the distal-balloon protection system on microembolization during carotid stenting. Circulation 2001;104:1999–2002.
Henry M, Polydorou A, Henry I, Hugel M. Carotid angioplasty under cerebral protection with the PercuSurge GuardWire System. Catheter Cardiovasc Interv 2004;61:293–305.
Reimers B, Corvaja N, Moshiri S, et al. Cerebral protection with filter devices during carotid artery stenting. Circulation 2001;104:12–15.
Jaeger HJ, Mathias KD, Hauth E, et al. Cerebral ischemia detected with diffusion-weighted MR imaging after stent implantation in the carotid artery. AJNR Am J Neuroradiol 2002;23:200–207.
Jaeger H, Mathias K, Drescher R, et al. Clinical results of cerebral protection with a filter device during stent implantation of the carotid artery. Cardiovasc Intervent Radiol 2001;24:249–256.
Sprouse LR, 2nd, Peeters P, Bosiers M. The capture of visible debris by distal cerebral protection filters during carotid artery stenting: Is it predictable? J Vasc Surg 2005;41:950–955.
Wilentz JR, Chati Z, Krafft V, Amor M. Retinal embolization during carotid angioplasty and stenting: mechanisms and role of cerebral protection systems. Catheter Cardiovasc Interv 2002;56:320–327.
Parodi JC, La Mura R, Ferreira LM, et al. Initial evaluation of carotid angioplasty and stenting with three different cerebral protection devices. J Vasc Surg 2000;32:1127–1136.
Schmidt A, Diederich KW, Scheinert S, et al. Effect of two different neuroprotection systems on microembolization during carotid artery stenting. J Am Coll Cardiol 2004;44:1966–1969.
Diederich KW, Scheinert D, Schmidt A, et al. First clinical experiences with an endovascular clamping system for neuroprotection during carotid stenting. Eur J Vasc Endovasc Surg 2004;28:629–633.
Coppi G, Moratto R, Silingardi R, et al. PRIAMUS-Proximal flow blockage cerebral protectIon during carotid stenting: results from a Multicenter Italian registry. J Cardiovasc Surg (Torino) 2005;46: 219–227.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Humana Press Inc., Totowa, NJ
About this chapter
Cite this chapter
Saw, J. (2007). Emboli Protection Devices. In: Saw, J., Exaire, J.E., Lee, D.S., Yadav, J.S. (eds) Handbook Of Complex Percutaneous Carotid Intervention. Contemporary Cardiology. Humana Press. https://doi.org/10.1007/978-1-59745-002-7_11
Download citation
DOI: https://doi.org/10.1007/978-1-59745-002-7_11
Publisher Name: Humana Press
Print ISBN: 978-1-58829-605-4
Online ISBN: 978-1-59745-002-7
eBook Packages: MedicineMedicine (R0)