| Safe carotid artery angioplasty and stenting in patients unsuitable for transfemoral approach. | |
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MedLine Citation:
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PMID: 20224530 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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D Christopoulos; E Philippov; M Kallintzi |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International angiology : a journal of the International Union of Angiology Volume: 29 ISSN: 1827-1839 ISO Abbreviation: Int Angiol Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-03-12 Completed Date: 2010-07-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8402693 Medline TA: Int Angiol Country: Italy |
Other Details:
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Languages: eng Pagination: 37-40 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery, B' Surgical Unit, G. Gennimatas Hospital, University of Thessaloniki Medical School, Thessaloniki, Greece. dechrist@otenet.gr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angioplasty / adverse effects, instrumentation*, methods Arteriovenous Shunt, Surgical Carotid Stenosis / physiopathology, radiography, therapy* Female Femoral Artery Filtration / instrumentation Humans Hypotension / etiology Length of Stay Male Pilot Projects Regional Blood Flow Risk Assessment Severity of Illness Index Stents* Time Factors Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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