Document Detail


Proximal endovascular occlusion for carotid artery stenting.
MedLine Citation:
PMID:  23296414     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Carotid artery stenting (CAS) is considered to be an acceptable alternative to carotid endarterectomy (CEA), particularly in patients at increased risk for CEA. The safety of CAS has improved significantly over the past decade. Adjunctive use of embolic protection devices (EPDs), is thought to be partially responsible for the improved outcomes. Among these, proximal EPDs are based on the surgical principle of stopping or reversing flow by clamping the carotid arteries, much in the same way carotid endarterectomy accomplishes neuroprotection. This is achieved through external and common carotid clamping. A recent meta-analysis demonstrates that the use of proximal EPDs for neuroprotection in patients undergoing CAS is associated with a very low incidence of any strokes and composite MACCE at 30 days. This study also demonstrates that the excellent outcomes achieved using proximal EPDs are independent of patient gender, symptomatic status, and other baseline clinical characteristics including the presence of a contralateral carotid occlusion.
Authors:
E Stabile; G Biamino; G Sorropago; P Rubino
Related Documents :
23046334 - Technical considerations and performance of bridging stent-grafts for iliac side branch...
23992704 - Severe aortic valve regurgitation due to takayasu's aortoarteritis in a child.
24213974 - Increased systemic cardiac output improves arterial oxygen saturation in bidirectional ...
23579404 - Renal artery stenosis and abdominal aorta aneurysm in patients with pseudoexfoliation s...
21620674 - Thoracic endovascular aneurysm repair for thoracic aneurysms: what we know, what to exp...
20591244 - Staged carotid stenting and carotid endarterectomy for bilateral internal carotid arter...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  54     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  41-5     Citation Subset:  IM    
Affiliation:
Laboratory of Invasive Cardiology,, Clinica Montevergine, Mercogliano, Avellino, Italy - geko50@hotmail.com.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Carotid artery stenting with filters.
Next Document:  Current concepts on the management of concomitant carotid and coronary disease.