Abstract
Carotid artery stenting (CAS) techniques and equipment have dramatically improved over the past two decades. Modern-day CAS can be performed safely with good technical success rates. Nevertheless, the CAS procedure can be challenging and warrants meticulous techniques as the resultant complications can be debilitating and life threatening. We detailed a basic step-by-step technical approach to guide operators through this challenging procedure.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Yadav JS, Wholey MH, Kuntz RE, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med 2004;351:1493–1501.
Kastrup A, Groschel K, Kraph H, Brehm B, Dichgans J, Schulz J. Early outcome of carotid angioplasty and stenting with and without cerebral protection devices. A systematic review of the literature. Stroke 2003;34:813–819.
Wholey MH, Al-Mubarek N. Updated review of the global carotid artery stent registry. Catheter Cardiovasc Interv 2003;60:259–266.
Saw J, Casserly I, Sachar R, et al. Evaluating the optimal activated clotting time during percutaneous carotid interventions. Cathet Cardiovasc Interv 2004;62:91.
Folmar J, Sachar R, Mann T. Transradial approach for carotid artery stenting: a feasibility study. Catheter Cardiovasc Interv 2007;69:355–361.
Wholey MH, Eles G, Toursakissian B, Bailey S, Jarmolowski C, Tan WA. Evaluation of glycoprotein IIb/IIIa inhibitors in carotid angioplasty and stenting. J Endovasc Ther 2003;10:33–41.
Kopp CW, Steiner S, Nasel C, et al. Abciximab reduces monocyte tissue factor in carotid angioplasty and stenting. Stroke 2003;34:2560–2567.
SMith DC, Simmons CR. The quick aortic turn: a rapid method for reforming the simmons sidewinder catheter. Radiology 1985:247–248.
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.
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.
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.
Mathur A, Dorros G, Iyer SS, Vitek JJ, Yadav SS, Roubin GS. Palmaz stent compression in patients following carotid artery stenting. Cathet Cardiovasc Diagn 1997;41:137–140.
Casserly IP, Abou-Chebl A, Fathi RB, et al. Slow-flow phenomenon during carotid artery intervention with embolic protection devices: predictors and clinical outcome. J Am Coll Cardiol 2005;46:1466–1472.
Yadav JS. Technical aspects of carotid stenting. EuroPCR. Version 3 ed. Paris, 2003:1–18.
Chen MS, Bhatt DL, Mukherjee D, et al. Feasibility of simultaneous bilateral carotid artery stenting. Catheter Cardiovasc Interv 2004;61:437–442.
Al-Mubarak N, Roubin GS, Vitek JJ, Gomez CR. Simultaneous bilateral carotid stenting for restenosis after endarterectomy. Cathet Cardiovasc Diagn 1998;45:11–15.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Humana Press, a part of Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Saw, J. (2009). Extracranial Carotid Stent Interventional Approach. In: Saw, J. (eds) Carotid Artery Stenting: The Basics. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-314-5_11
Download citation
DOI: https://doi.org/10.1007/978-1-60327-314-5_11
Published:
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-60327-313-8
Online ISBN: 978-1-60327-314-5
eBook Packages: MedicineMedicine (R0)