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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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The Journal of Cardiovascular Surgery 2002 June;43(3):391-7

VASCULAR SECTION 

 ORIGINAL ARTICLES

Prospective comparative study of two cerebral protection devices in carotid angioplasty and stenting

Grego F., Frigatti P., Amistà P. *, Lepidi S., Antonello M., Carollo C. *, Deriu G. P.

From ­the Division of Vascular Surgery Department of Medical ­and Surgical Sciences University of Padua Medical School
*Division of Neuroradiology, Padua Hospital, Padua, Italy

Background. The ­aim of ­the ­study ­was to com­pare ­two of ­the avail­able cere­bral pro­tec­tion devic­es (­CPD) PercuSurge, bal­loon ­type (­group A) ­and Angioguard, fil­ter ­type (­group B) ­used in carot­id stent­ing ­and angio­plas­ty (­CAS).
Methods. From September 1999 to February 2001, 26 con­sec­u­tive ­patients under­go­ing ­CAS ­were alter­na­tive­ly ­assigned to ­group A ­and B. Postoperative dis­abling ­stroke ­and neu­ro­log­i­cal mor­tal­ity, non­dis­abling ­stroke, ­TIA ­and non­-neu­ro­log­i­cal mor­tal­ity ­were exam­ined. ­CPD fea­tures includ­ed ­time ­required, ­ease of han­dling, ­device rup­ture or mal­func­tion­ing, radio­paque mark­ers evi­dence, abnor­mal ­major mobil­ity of ­the ­opened ­system.
Results. ­RNCR ­was 0 ­and TIAs ­were ­not ­observed in ­either ­group. Four ­patients (3 in ­group A ­and 1 in ­group B) ­showed drow­si­ness in ­the imme­di­ate post­op­er­a­tive peri­od. Perioperative carot­id occlu­sion ­and sur­gi­cal con­ver­sion ­were ­observed in 1 ­case of ­group A. Average ­time cal­cu­lat­ed ­from ­the begin­ning of ­set-up to com­plete remov­al ­was 46 ­min in ­group A ver­sus 31 ­min in ­group B. Abnormal ­major mobil­ity of ­the ­opened ­system ­was ­very ­often ­observed dur­ing endo­vas­cu­lar maneu­vers ­with ­both devic­es.
Conclusions. ­CAS ­may pro­tect ­against post­op­er­a­tive pro­ce­dure-relat­ed neu­ro­log­i­cal ­events. Common ­and spe­cif­ic dis­ad­van­tag­es ­were ­observed in ­both ­systems show­ing ­they ­were ­not ­close ­enough to ­the ­ideal ­device.

language: English


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