European Journal of Vascular & Endovascular Surgery
Volume 39, Issue 3 , Pages 252-257 , March 2010

Cervical Access for Filter-protected Carotid Artery Stenting: A Useful Tool to Reduce Cerebral Embolisation

  • G. Palombo

      Affiliations

    • Department of Vascular Surgery, Sant'Andrea Hospital, ‘La Sapienza’ University of Rome (Second Medical School), Rome, Italy
    • Corresponding Author InformationCorresponding author at: Department of Vascular Surgery, Ospedale Sant'Andre, Via di Grottarossa 1035, 00189 Rome, Italy. Tel.: +39 06 3377 5877; fax: +39 06 3377 5324.
    • ,
  • N. Stella

      Affiliations

    • Department of Vascular Surgery, Sant'Andrea Hospital, ‘La Sapienza’ University of Rome (Second Medical School), Rome, Italy
    • ,
  • V. Faraglia

      Affiliations

    • Department of Vascular Surgery, Sant'Andrea Hospital, ‘La Sapienza’ University of Rome (Second Medical School), Rome, Italy
    • ,
  • L. Rizzo

      Affiliations

    • Department of Vascular Surgery, Sant'Andrea Hospital, ‘La Sapienza’ University of Rome (Second Medical School), Rome, Italy
    • ,
  • C. Fantozzi

      Affiliations

    • Department of Vascular Surgery, Sant'Andrea Hospital, ‘La Sapienza’ University of Rome (Second Medical School), Rome, Italy
    • ,
  • A. Bozzao

      Affiliations

    • Department of Neuroradiology, Sant'Andrea Hospital, ‘La Sapienza’ University of Rome (Second Medical School), Rome, Italy
    • ,
  • M. Taurino

      Affiliations

    • Department of Vascular Surgery, Sant'Andrea Hospital, ‘La Sapienza’ University of Rome (Second Medical School), Rome, Italy

Received 14 April 2009 ,Accepted 8 November 2009.

References 

  1. Wholey MH, Wu WCS. Current status in cervical carotid artery stent placement. J Cardiovasc Surg. 2009;50:29–37
  2. Bush RL, Kougias P, Guerrero MA, Lubbe DF, Zhou W, Lumsden AB, et al. A comparison of carotid artery stenting with neuroprotection versus carotid endarterectomy under local anesthesia. Am J Surg. 2005;190:696–700
  3. Yadav JS, Wholey MH, Kuntz RE, Fayad P, Katzen BT, Mishkel GJ, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med. 2004;351:1493–1501
  4. Schnaudigel S, Gröschel K, Pilgram SM, Kastrup A. New brain lesions after carotid stenting versus carotid endarterectomy: a systematic review of the literature. Stroke. 2008;39:1911–1919
  5. Cosottini M, Michelassi MC, Puglioli M, Lazzarotti G, Orlandi G, Marconi F, et al. Silent cerebral ischemia detected with diffusion-weighted imaging in patients treated with protected and unprotected carotid artery stenting. Stroke. 2005;36:2389–2393
  6. Hammer FD, Lacroix V, Duprez T, Grandin C, Verhelst R, Peeters A, et al. Cerebral microembolization after protected carotid artery stenting in surgical high-risk patients: results of a 2-year prospective study. J Vasc Surg. 2005;42:847–853
  7. Bendszus M, Koltzenburg M, Burger R, Warmuth-Metz M, Hofmann E, Solymosi L. Silent embolism in diagnostic cerebral angiography and neurointerventional procedures: a prospective study. Lancet. 1999;354:1594–1597
  8. Hobson RW, Howard VJ, Roubin GS, Brott TG, Ferguson RD, Popma JJ, et al. Carotid artery stenting is associated with increased complications in octogenarians: 30-day stroke and death rates in the CREST lead-in phase. J Vasc Surg. 2004;40:1106–1111
  9. Kastrup A, Gröschel K, Schnaudigel S, Nägele T, Schmidt F, Ernemann U. Target lesion ulceration and arch calcification are associated with increased incidence of carotid stenting-associated ischemic lesions in octogenarians. J Vasc Surg. 2008;47:88–95
  10. Lam RC, Lin SC, DeRubertis B, Hynecek R, Kent KC, Faries PL. The impact of increasing age on anatomic factors affecting carotid angioplasty and stenting. J Vasc Surg. 2007;45:875–880
  11. Faggioli GL, Ferri M, Freyrie A, Gargiulo M, Fratesi F, Rossi C, et al. Aortic arch anomalies are associated with increased risk of neurological events in carotid stent procedures. Eur J Vasc Endovasc Surg. 2007;33:436–441
  12. Mathieu X, Piret V, Bergeron P, Petrosyan A, Abdulamit T, Trastour JC. Choice of access for percutaneous carotid angioplasty and stenting. A comparative study on cervical and femoral access. J Cardiovasc Surg. 2009 May 19;[Epub ahead of print]
  13. Alexandrescu V, Ngongang C, Proumen J, Dejardin H, Serbanescu R, Horion J, et al. Filter-protected carotid stenting via a minimal cervical access with transitory aspirated reversed flow during initial passage of the target lesion. J Endovasc Ther. 2006;13:196–204
  14. Feldtman RW, Buckley CJ, Bohannon WT. How I do it: cervical access for carotid artery stenting. Am J Surg. 2006;192:779–781
  15. Geroulakos G, Ramaswami G, Nicolaides A, James K, Labropoulos N, Belcaro G, et al. Characterisation of symptomatic and asymptomatic carotid plaques using high-resolution real time ultrasonography. Br J Surg. 1993;80:1274–1277
  16. Taha MM, Sakaida H, Asakura F, Maeda M, Toma N, Sano T, et al. Access site complications with carotid angioplasty and stenting. Surg Neurol. 2007;68:431–437
  17. Criado E, Fontcuberta J, Orgaz A, Flores A, Doblas M. Transcervical carotid stenting with carotid artery flow reversal: 3-year follow-up of 103 stents. J Vasc Surg. 2007;46:864–869
  18. Monini S, Taurino M, Barbara M, Irace L, Jabbour J, Bandiera G, et al. Laryngeal and cranial nerve involvement after carotid endarterectomy. Acta Otolaryngol. 2005;125:398–402
  19. Al-Mubarak N, Roubin GS, Vitek JJ, Iyer SS, New G, Leon MB. Effect of the distal-balloon protection system on microembolization during carotid stenting. Circulation. 2001;104:1999–2002
  20. Schmidt A, Diederich KW, Scheinert S, Bräunlich S, Olenburger T, Biamino G, et al. Effect of two different neuroprotection systems on microembolization during carotid artery stenting. J Am Coll Cardiol. 2004;44:1966–1969
  21. Rubartelli P, Brusa G, Arrigo A, Abbadessa F, Giachero C, Vischi M, et al. Transcranial Doppler monitoring during stenting of the carotid bifurcation: evaluation of two different distal protection devices in preventing embolization. J Endovasc Ther. 2006;13:436–442
  22. Kastrup A, Gröschel K, Nägele T, Riecker A, Schmidt F, Schnaudigel S, et al. Effects of age and symptom status on silent ischemic lesions after carotid stenting with and without the use of distal filter devices. Am J Neuroradiol. 2008;29:608–612
  23. Matas M, Alvarez B, Ribo M, Molina C, Maeso J, Alvarez-Sabin J. Transcervical carotid stenting with flow reversal protection: experience in high-risk patients. J Vasc Surg. 2007;46:49–54
  24. Faraglia V, Palombo G, Stella N, Rizzo L, Taurino M, Bozzao A. Cerebral embolization during transcervical carotid stenting with flow reversal: a diffusion-weighted magnetic resonance study. Ann Vasc Surg. 2009;23:429–435

PII: S1078-5884(09)00578-4

doi: 10.1016/j.ejvs.2009.11.011

European Journal of Vascular & Endovascular Surgery
Volume 39, Issue 3 , Pages 252-257 , March 2010

Article Tools