Home > Journals > International Angiology > Past Issues > International Angiology 2010 February;29(1) > International Angiology 2010 February;29(1):37-40





A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,37



Original articles  

International Angiology 2010 February;29(1):37-40


language: English

Safe carotid artery angioplasty and stenting in patients unsuitable for transfemoral approach

Christopoulos D. 1, 2, Philippov E. 2, Kallintzi M. 2

1 Division of Vascular Surgery, B’ Surgical Unit, “G. Gennimatas”Hospital, University of Thessaloniki Medical School, Thessaloniki, Greece; 2 Interbalcan Medical Center, Theassaloniki, Greece


AIM: The aim of this study was to use the maximum of all the protective measures to make carotid angioplasty and stenting (CAS) a safe procedure.
METHODS: Twenty patients with severe carotid disease have been treated. These patients were considered as high risk for carotid endarterectomy and not suitable for transfemoral CAS for anatomic reasons. Transcervical approach to the common carotid (CCA) and the internal jungular vein (IJV) has been used. The vessels were cannulated with introducing sheaths and the flow in the internal carotid (ICA) was reversed by occluding the proximal CCA and creating a fistula with the IJV by connecting the two sheaths. The carotid lesion was crossed under retrograde flow and a filter was positioned and opened in the distal ICA. Antegrade flow was then resumed and CAS was performed.
RESULTS: All procedures were successful and uneventful with the exception of transient hypotension in 3 patients. The mean time of flow reversal was less than 1.5 min. Seventeen patients were discharged the following morning and 3 on the subsequent day, because of hypotension.
CONCLUSION: The results of this preliminary study indicate that the combination of several protective measures for CAS is effective. Further series are required to confirm our findings.

top of page

Publication History

Cite this article as

Corresponding author e-mail