Technical aspects of transcarotid artery revascularization using the ENROUTE transcarotid neuroprotection and stent system
Transcarotid artery revascularization (TCAR) with the ENROUTE transcarotid neuroprotection and stent system (Silk Road Medical, Inc, Sunnyvale, Calif) combines surgical principles of neuroprotection with less invasive endovascular techniques to treat high grade stenosis in the carotid artery. The EN...
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| Veröffentlicht in: | Journal of vascular surgery 2017-03, Vol.65 (3), p.916-920 |
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| container_title | Journal of vascular surgery |
| container_volume | 65 |
| creator | Malas, Mahmoud B., MD, MHS Leal, Jose, MD Kashyap, Vikram, MD Cambria, Richard Paul, MD Kwolek, Christopher J., MD Criado, Enrique, MD |
| description | Transcarotid artery revascularization (TCAR) with the ENROUTE transcarotid neuroprotection and stent system (Silk Road Medical, Inc, Sunnyvale, Calif) combines surgical principles of neuroprotection with less invasive endovascular techniques to treat high grade stenosis in the carotid artery. The ENROUTE Neuroprotection System allows the surgeon to directly access the common carotid artery to initiate high rate temporary blood flow reversal to protect the brain while performing carotid angioplasty and stenting. Unprotected catheterization of the arch and lesion is, thus, avoided. Pivotal data from the Safety and Efficacy Study for Reverse Flow Used During Carotid Artery Stenting Procedure (ROADSTER) study of high-risk patients undergoing TCAR have showed a low stroke rate compared with other prospective trials of endovascular carotid intervention. The aim of this article is to provide specific technical details of TCAR. |
| doi_str_mv | 10.1016/j.jvs.2016.11.042 |
| format | Article |
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The ENROUTE Neuroprotection System allows the surgeon to directly access the common carotid artery to initiate high rate temporary blood flow reversal to protect the brain while performing carotid angioplasty and stenting. Unprotected catheterization of the arch and lesion is, thus, avoided. Pivotal data from the Safety and Efficacy Study for Reverse Flow Used During Carotid Artery Stenting Procedure (ROADSTER) study of high-risk patients undergoing TCAR have showed a low stroke rate compared with other prospective trials of endovascular carotid intervention. The aim of this article is to provide specific technical details of TCAR.</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/j.jvs.2016.11.042</identifier><identifier>PMID: 28236931</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Angioplasty - adverse effects ; Angioplasty - instrumentation ; Carotid Artery, Common - physiopathology ; Carotid Stenosis - complications ; Carotid Stenosis - diagnosis ; Carotid Stenosis - physiopathology ; Carotid Stenosis - therapy ; Cerebrovascular Circulation ; Cerebrovascular Disorders - etiology ; Cerebrovascular Disorders - physiopathology ; Cerebrovascular Disorders - prevention & control ; Humans ; Prosthesis Design ; Regional Blood Flow ; Risk Factors ; Severity of Illness Index ; Stents ; Surgery ; Treatment Outcome</subject><ispartof>Journal of vascular surgery, 2017-03, Vol.65 (3), p.916-920</ispartof><rights>Society for Vascular Surgery</rights><rights>2016 Society for Vascular Surgery</rights><rights>Copyright © 2016 Society for Vascular Surgery. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-a3ad15a8ed7046140f6b70a4401791686d11572a7ee53004f2905a178fd6d6903</citedby><cites>FETCH-LOGICAL-c451t-a3ad15a8ed7046140f6b70a4401791686d11572a7ee53004f2905a178fd6d6903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0741521416318626$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28236931$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Malas, Mahmoud B., MD, MHS</creatorcontrib><creatorcontrib>Leal, Jose, MD</creatorcontrib><creatorcontrib>Kashyap, Vikram, MD</creatorcontrib><creatorcontrib>Cambria, Richard Paul, MD</creatorcontrib><creatorcontrib>Kwolek, Christopher J., MD</creatorcontrib><creatorcontrib>Criado, Enrique, MD</creatorcontrib><title>Technical aspects of transcarotid artery revascularization using the ENROUTE transcarotid neuroprotection and stent system</title><title>Journal of vascular surgery</title><addtitle>J Vasc Surg</addtitle><description>Transcarotid artery revascularization (TCAR) with the ENROUTE transcarotid neuroprotection and stent system (Silk Road Medical, Inc, Sunnyvale, Calif) combines surgical principles of neuroprotection with less invasive endovascular techniques to treat high grade stenosis in the carotid artery. The ENROUTE Neuroprotection System allows the surgeon to directly access the common carotid artery to initiate high rate temporary blood flow reversal to protect the brain while performing carotid angioplasty and stenting. Unprotected catheterization of the arch and lesion is, thus, avoided. Pivotal data from the Safety and Efficacy Study for Reverse Flow Used During Carotid Artery Stenting Procedure (ROADSTER) study of high-risk patients undergoing TCAR have showed a low stroke rate compared with other prospective trials of endovascular carotid intervention. The aim of this article is to provide specific technical details of TCAR.</description><subject>Angioplasty - adverse effects</subject><subject>Angioplasty - instrumentation</subject><subject>Carotid Artery, Common - physiopathology</subject><subject>Carotid Stenosis - complications</subject><subject>Carotid Stenosis - diagnosis</subject><subject>Carotid Stenosis - physiopathology</subject><subject>Carotid Stenosis - therapy</subject><subject>Cerebrovascular Circulation</subject><subject>Cerebrovascular Disorders - etiology</subject><subject>Cerebrovascular Disorders - physiopathology</subject><subject>Cerebrovascular Disorders - prevention & control</subject><subject>Humans</subject><subject>Prosthesis Design</subject><subject>Regional Blood Flow</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Stents</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS1ERZfCD-CCfOSS4HESOxESEqq2gFRRqd2eLdeeUIess9jOSttfj8MWJDj0NHN472nme4S8AVYCA_F-KId9LHleS4CS1fwZWQHrZCFa1j0nKyZrKBoO9Sl5GePAGEDTyhfklLe8El0FK_KwQXPvndEj1XGHJkU69TQF7aPRYUrOUh0ShgMNuNfRzKMO7kEnN3k6R-e_03SPdP3t-up2s_7X53EO0y7vOXWRa29pTOgTjYc8t6_ISa_HiK8f5xm5vVhvzr8Ul1efv55_uixM3UAqdKUtNLpFK1ktoGa9uJNM1zUD2YFohc1fSa4lYlMxVve8Y40G2fZWWNGx6oy8O-bmW37OGJPaumhwHLXHaY4KWskbKTlUWQpHqQlTjAF7tQtuq8NBAVMLcjWojFwtyBWAysiz5-1j_Hy3RfvX8YdxFnw4CjA_uXcYVDQOvUHrQkaj7OSejP_4n9uM7ndhP_CAcZjm4DM9BSpyxdTN0vlSOYgKWsFF9Qum1Kgr</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Malas, Mahmoud B., MD, MHS</creator><creator>Leal, Jose, MD</creator><creator>Kashyap, Vikram, MD</creator><creator>Cambria, Richard Paul, MD</creator><creator>Kwolek, Christopher J., MD</creator><creator>Criado, Enrique, MD</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170301</creationdate><title>Technical aspects of transcarotid artery revascularization using the ENROUTE transcarotid neuroprotection and stent system</title><author>Malas, Mahmoud B., MD, MHS ; 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| ispartof | Journal of vascular surgery, 2017-03, Vol.65 (3), p.916-920 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Angioplasty - adverse effects Angioplasty - instrumentation Carotid Artery, Common - physiopathology Carotid Stenosis - complications Carotid Stenosis - diagnosis Carotid Stenosis - physiopathology Carotid Stenosis - therapy Cerebrovascular Circulation Cerebrovascular Disorders - etiology Cerebrovascular Disorders - physiopathology Cerebrovascular Disorders - prevention & control Humans Prosthesis Design Regional Blood Flow Risk Factors Severity of Illness Index Stents Surgery Treatment Outcome |
| title | Technical aspects of transcarotid artery revascularization using the ENROUTE transcarotid neuroprotection and stent system |
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