Advanced Search

Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 2005 June;46(3) > The Journal of Cardiovascular Surgery 2005 June;46(3):201-17

ISSUES AND ARTICLES   MOST READ   eTOC

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
Impact Factor 1,632

Frequency: Bi-Monthly

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 2005 June;46(3):201-17

VASCULAR SECTION 

    WHAT’S NEW IN CAROTID ARTERY STENTING

Techniques for carotid artery stenting under cerebral protection

Schönholz C. J. 1, Uflacker R. 1, Mendaro E. 2, Parodi J. C. 3, Guimaraes M. 1, Hannegan C. 1, Selby B. 1

1 Heart and Vascular Center Medical University of South Carolina Charleston, SC, USA
2 Department of Interventional Radiology Navy Hospital, Buenos Aires, Argentina
3 Department of Vascular Surgery Washington University School of Medicine St Louis, MO, USA

Carotid angioplasty and stenting is an alternative to carotid endarterectomy in the treatment of carotid artery stenosis. During the stenting process, however, distal embolization usually occurs, and the particles released may cause neurologic problems or death. Thus, the safety of carotid stenting depends partly on use of a cerebral protection device during the procedure. Three principal types of protection mechanisms have been developed: distal balloon occlusion, distal filtration, and proximal occlusion with or without reversal of flow. Products using these mechanisms have been manufactured by a variety of companies, and many are used routinely outside the United States (US). One distal filter, the RX Accunet, has been approved by the US Food and Drug Administration for clinical use. Large clinical trials of most of the newest carotid stents and cerebral protection devices are under way, and some initial results have been reported. Several clinical series in which cerebral protection was employed have also been described. Each type of protection device has advantages and disadvantages, which are discussed in this review.

language: English


FULL TEXT  REPRINTS

top of page