Dual Cerebral Protection Technique during Carotid Stenting
Purpose: To present a technique for internal carotid artery stenting (CAS) with dual cerebral protection in patients with high-grade stenosis caused by large, soft atherosclerotic plaques. Technique: The MO.MA proximal cerebral protection device is first placed in the external and common carotid art...
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| Veröffentlicht in: | Journal of endovascular therapy 2007-02, Vol.14 (1), p.86-90 |
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| container_title | Journal of endovascular therapy |
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| creator | Miloševič, Zoran V. Kocijančič, Igor J. Bunc, Matjaž Bajrovič, Fajko F. Žvan, Bojana |
| description | Purpose:
To present a technique for internal carotid artery stenting (CAS) with dual cerebral protection in patients with high-grade stenosis caused by large, soft atherosclerotic plaques.
Technique:
The MO.MA proximal cerebral protection device is first placed in the external and common carotid arteries. Complete blockade of blood flow is achieved by inflating the occlusion balloons. A Spider filter is delivered to the distal internal carotid artery. All procedural steps of CAS are performed during continuous and simultaneous proximal occlusion and distal filter protection. After postdilation of the stent, the occlusion balloons are deflated, and antegrade flow is re-established with the distal filter basket still open.
Conclusion:
In selected patients with large atherosclerotic plaques, a dual cerebral protection technique during CAS may be a more efficacious form of cerebral protection than a single protection device. |
| doi_str_mv | 10.1583/06-1926.1 |
| format | Article |
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To present a technique for internal carotid artery stenting (CAS) with dual cerebral protection in patients with high-grade stenosis caused by large, soft atherosclerotic plaques.
Technique:
The MO.MA proximal cerebral protection device is first placed in the external and common carotid arteries. Complete blockade of blood flow is achieved by inflating the occlusion balloons. A Spider filter is delivered to the distal internal carotid artery. All procedural steps of CAS are performed during continuous and simultaneous proximal occlusion and distal filter protection. After postdilation of the stent, the occlusion balloons are deflated, and antegrade flow is re-established with the distal filter basket still open.
Conclusion:
In selected patients with large atherosclerotic plaques, a dual cerebral protection technique during CAS may be a more efficacious form of cerebral protection than a single protection device.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1583/06-1926.1</identifier><identifier>PMID: 17291147</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Angioplasty, Balloon - adverse effects ; Balloon Occlusion - instrumentation ; Balloon Occlusion - methods ; Carotid Artery Diseases - complications ; Carotid Artery, Common - diagnostic imaging ; Carotid Artery, Common - physiopathology ; Carotid Artery, External - diagnostic imaging ; Carotid Artery, External - physiopathology ; Carotid Artery, Internal - diagnostic imaging ; Carotid Artery, Internal - physiopathology ; Carotid Stenosis - diagnostic imaging ; Carotid Stenosis - etiology ; Carotid Stenosis - physiopathology ; Carotid Stenosis - therapy ; Cerebrovascular Disorders - etiology ; Cerebrovascular Disorders - prevention & control ; Equipment Design ; Filtration - instrumentation ; Humans ; Intracranial Embolism - etiology ; Intracranial Embolism - prevention & control ; Male ; Medical imaging ; Membrane filters ; Middle Aged ; Patients ; Radiography, Interventional ; Regional Blood Flow ; Severity of Illness Index ; Stents ; Ultrasonography, Doppler, Duplex ; Veins & arteries</subject><ispartof>Journal of endovascular therapy, 2007-02, Vol.14 (1), p.86-90</ispartof><rights>2007 SAGE Publications</rights><rights>Copyright Alliance Communications Group, A Division of Allen Press, Inc. Feb 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-4a5ce33a975523687bc62ddb948c04a4646593fdf40a363a4c1e4d5788edafb53</citedby><cites>FETCH-LOGICAL-c407t-4a5ce33a975523687bc62ddb948c04a4646593fdf40a363a4c1e4d5788edafb53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1583/06-1926.1$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1583/06-1926.1$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17291147$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miloševič, Zoran V.</creatorcontrib><creatorcontrib>Kocijančič, Igor J.</creatorcontrib><creatorcontrib>Bunc, Matjaž</creatorcontrib><creatorcontrib>Bajrovič, Fajko F.</creatorcontrib><creatorcontrib>Žvan, Bojana</creatorcontrib><title>Dual Cerebral Protection Technique during Carotid Stenting</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>Purpose:
To present a technique for internal carotid artery stenting (CAS) with dual cerebral protection in patients with high-grade stenosis caused by large, soft atherosclerotic plaques.
Technique:
The MO.MA proximal cerebral protection device is first placed in the external and common carotid arteries. Complete blockade of blood flow is achieved by inflating the occlusion balloons. A Spider filter is delivered to the distal internal carotid artery. All procedural steps of CAS are performed during continuous and simultaneous proximal occlusion and distal filter protection. After postdilation of the stent, the occlusion balloons are deflated, and antegrade flow is re-established with the distal filter basket still open.
Conclusion:
In selected patients with large atherosclerotic plaques, a dual cerebral protection technique during CAS may be a more efficacious form of cerebral protection than a single protection device.</description><subject>Aged</subject><subject>Angioplasty, Balloon - adverse effects</subject><subject>Balloon Occlusion - instrumentation</subject><subject>Balloon Occlusion - methods</subject><subject>Carotid Artery Diseases - complications</subject><subject>Carotid Artery, Common - diagnostic imaging</subject><subject>Carotid Artery, Common - physiopathology</subject><subject>Carotid Artery, External - diagnostic imaging</subject><subject>Carotid Artery, External - physiopathology</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Carotid Artery, Internal - physiopathology</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Carotid Stenosis - etiology</subject><subject>Carotid Stenosis - physiopathology</subject><subject>Carotid Stenosis - therapy</subject><subject>Cerebrovascular Disorders - etiology</subject><subject>Cerebrovascular Disorders - prevention & control</subject><subject>Equipment Design</subject><subject>Filtration - instrumentation</subject><subject>Humans</subject><subject>Intracranial Embolism - etiology</subject><subject>Intracranial Embolism - prevention & control</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Membrane filters</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Radiography, Interventional</subject><subject>Regional Blood Flow</subject><subject>Severity of Illness Index</subject><subject>Stents</subject><subject>Ultrasonography, Doppler, Duplex</subject><subject>Veins & arteries</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNplkE1Lw0AQhhdRbK0e_AMSPAgeUnf2KxtvJX5CQcF6Xja7m5qSJnU3Ofjv3dJCQU8zzDy8886L0CXgKXBJ77BIISdiCkdoDJzxFDjHx9ueiFRgIkfoLIQVxgQIwCkaQUZyAJaN0f3DoJukcN6VPjbvvuud6euuTRbOfLX19-ASO_i6XSaFjsvaJh-9a_s4OEcnlW6Cu9jXCfp8elwUL-n87fm1mM1Tw3DWp0xz4yjVecY5oUJmpRHE2jJn0mCmmWCC57SyFcOaCqqZAccsz6R0VlclpxN0s9Pd-C7aCb1a18G4ptGt64aghMyjFsgIXv8BV93g2-hNxbcBaJaLCN3uIOO7ELyr1MbXa-1_FGC1TVNhobZpKojs1V5wKNfOHsh9fAdrQS_d4dp_pV9dV3kK</recordid><startdate>200702</startdate><enddate>200702</enddate><creator>Miloševič, Zoran V.</creator><creator>Kocijančič, Igor J.</creator><creator>Bunc, Matjaž</creator><creator>Bajrovič, Fajko F.</creator><creator>Žvan, Bojana</creator><general>SAGE Publications</general><general>Allen Press Inc</general><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200702</creationdate><title>Dual Cerebral Protection Technique during Carotid Stenting</title><author>Miloševič, Zoran V. ; Kocijančič, Igor J. ; Bunc, Matjaž ; Bajrovič, Fajko F. ; Žvan, Bojana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-4a5ce33a975523687bc62ddb948c04a4646593fdf40a363a4c1e4d5788edafb53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged</topic><topic>Angioplasty, Balloon - adverse effects</topic><topic>Balloon Occlusion - instrumentation</topic><topic>Balloon Occlusion - methods</topic><topic>Carotid Artery Diseases - complications</topic><topic>Carotid Artery, Common - diagnostic imaging</topic><topic>Carotid Artery, Common - physiopathology</topic><topic>Carotid Artery, External - diagnostic imaging</topic><topic>Carotid Artery, External - physiopathology</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Carotid Artery, Internal - physiopathology</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Carotid Stenosis - etiology</topic><topic>Carotid Stenosis - physiopathology</topic><topic>Carotid Stenosis - therapy</topic><topic>Cerebrovascular Disorders - etiology</topic><topic>Cerebrovascular Disorders - prevention & control</topic><topic>Equipment Design</topic><topic>Filtration - instrumentation</topic><topic>Humans</topic><topic>Intracranial Embolism - etiology</topic><topic>Intracranial Embolism - prevention & control</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Membrane filters</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Radiography, Interventional</topic><topic>Regional Blood Flow</topic><topic>Severity of Illness Index</topic><topic>Stents</topic><topic>Ultrasonography, Doppler, Duplex</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miloševič, Zoran V.</creatorcontrib><creatorcontrib>Kocijančič, Igor J.</creatorcontrib><creatorcontrib>Bunc, Matjaž</creatorcontrib><creatorcontrib>Bajrovič, Fajko F.</creatorcontrib><creatorcontrib>Žvan, Bojana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endovascular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miloševič, Zoran V.</au><au>Kocijančič, Igor J.</au><au>Bunc, Matjaž</au><au>Bajrovič, Fajko F.</au><au>Žvan, Bojana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dual Cerebral Protection Technique during Carotid Stenting</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2007-02</date><risdate>2007</risdate><volume>14</volume><issue>1</issue><spage>86</spage><epage>90</epage><pages>86-90</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>Purpose:
To present a technique for internal carotid artery stenting (CAS) with dual cerebral protection in patients with high-grade stenosis caused by large, soft atherosclerotic plaques.
Technique:
The MO.MA proximal cerebral protection device is first placed in the external and common carotid arteries. Complete blockade of blood flow is achieved by inflating the occlusion balloons. A Spider filter is delivered to the distal internal carotid artery. All procedural steps of CAS are performed during continuous and simultaneous proximal occlusion and distal filter protection. After postdilation of the stent, the occlusion balloons are deflated, and antegrade flow is re-established with the distal filter basket still open.
Conclusion:
In selected patients with large atherosclerotic plaques, a dual cerebral protection technique during CAS may be a more efficacious form of cerebral protection than a single protection device.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>17291147</pmid><doi>10.1583/06-1926.1</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1526-6028 |
| ispartof | Journal of endovascular therapy, 2007-02, Vol.14 (1), p.86-90 |
| issn | 1526-6028 1545-1550 |
| language | eng |
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| source | SAGE Complete A-Z List; MEDLINE |
| subjects | Aged Angioplasty, Balloon - adverse effects Balloon Occlusion - instrumentation Balloon Occlusion - methods Carotid Artery Diseases - complications Carotid Artery, Common - diagnostic imaging Carotid Artery, Common - physiopathology Carotid Artery, External - diagnostic imaging Carotid Artery, External - physiopathology Carotid Artery, Internal - diagnostic imaging Carotid Artery, Internal - physiopathology Carotid Stenosis - diagnostic imaging Carotid Stenosis - etiology Carotid Stenosis - physiopathology Carotid Stenosis - therapy Cerebrovascular Disorders - etiology Cerebrovascular Disorders - prevention & control Equipment Design Filtration - instrumentation Humans Intracranial Embolism - etiology Intracranial Embolism - prevention & control Male Medical imaging Membrane filters Middle Aged Patients Radiography, Interventional Regional Blood Flow Severity of Illness Index Stents Ultrasonography, Doppler, Duplex Veins & arteries |
| title | Dual Cerebral Protection Technique during Carotid Stenting |
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