Document Detail


Initial multicenter experience with a novel distal protection filter during carotid artery stent implantation.
MedLine Citation:
PMID:  12552533     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Atheroembolization resulting in transient or permanent neurologic impairment is the most common complication of catheter-based percutaneous carotid artery intervention. Protection of the distal cerebral vasculature during carotid stent implantation may enhance procedural safety. Carotid stent implantation with distal cerebral protection using the FilterWire EX was performed in 35 consecutive patients undergoing 36 procedures at six centers. The FilterWire was delivered and deployed successfully in all 36 cases, and embolic material was retrieved from 74% of procedures. The 30-day rate of major adverse events (death, major or minor stroke) was 0%. Transient ipsilateral periprocedural neurologic ischemia developed in two patients (5.7%), both resolving within 30 min. Distal cerebral protection with the FilterWire during carotid stenting is feasible and safe, results in capture and extraction of atheroembolic debris in the majority of patients while affording uninterrupted cerebral perfusion, and in this initial multicenter experience was associated with a high rate of procedural success without major complications.
Authors:
Eberhard Grube; Antonio Colombo; Eugen Hauptmann; Hugo Londero; Nicolaus Reifart; Ulrich Gerckens; Gregg W Stone
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  58     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-01-28     Completed Date:  2003-05-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  139-46     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Wiley-Liss, Inc
Affiliation:
Heart Center, Siegburg, Germany.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Carotid Artery, Common*
Carotid Artery, Internal*
Carotid Stenosis / therapy*
Equipment Design
Female
Filtration / instrumentation
Humans
Male
Middle Aged
Prostheses and Implants*
Stents* / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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