REVIEWS   

The Journal of Cardiovascular Surgery 2012 December;53(6):755-63

Copyright © 2012 EDIZIONI MINERVA MEDICA

lingua: Inglese

Proximal embolic protection during carotid stenting: current devices and outcomes

Kiang S. C., De Rubertis B. G. ✉

Division of Vascular Surgery, Department of Surgery, David Geffen School of Medicine, UCLA, Los Angeles, USA

Carotid angioplasty and stenting (CAS) has become established as a safe and effective treatment strategy for patients at high risk for carotid endarterectomy (CEA). The adjunctive use of embolic protection devices has been associated with decreased rates of adverse neurologic events with CAS. Compared to other embolic protection strategies, the use of proximal protection devices during CAS has shown superior outcomes in regards to adverse events at 30 days. In this manuscript, we will compare and contrast the differences between distal embolic protection (EPD) and proximal embolic protection devices (PPD) in terms of procedural techniques, device advantages and limitations, and outcome data from prospective and retrospective clinical studies.