| Temporal approach: a good way to provide cerebral protection for proximal carotid stenosis, the last chance for trackability in CAS. | |
| | |
MedLine Citation:
|
PMID: 19329915 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: The aim of this study was to evaluate the usefulness of the temporal approach during coronary artery stenosis (CAS) to overcome tortuosity in case of difficult arch anatomy or tortuous common carotid artery, and to provide cerebral protection of proximal lesions of the supra-aortic trunks during stenting. METHODS: The superficial temporal artery is exposed through a small incision right in front of the ear and is cannulated. A guidewire is used to descend in the external and common carotid artery and in the arch if needed. Between the end of March 2007 and May 2008 9 patients were treated with the temporal approach: in 5 cases of stenosis of the internal carotid artery with difficult arch anatomy to obtain a through and through guide from the temporal to the femoral artery, in 3 of the supra-aortic trunks to obtain cerebral protection during the procedure and in one case of tandem lesion of the left common and internal carotid artery. RESULTS: The procedure was successful in all 9 cases and there were no complications. CONCLUSIONS: The temporal approach proved to be feasible and at low risk; it represents a new possibility to increase the feasibility of carotid artery stenting in patients with difficult anatomy but, above all, it is a good way to obtain cerebral protection during endovascular treatment of proximal lesions of the supra-aortic vessels. |
| | |
Authors:
|
N Mangialardi; S Ronchey; E Serrao; P Costa; P Bergeron |
Related Documents
:
|
10731925 - Carotid artery stenting in patients with symptomatic coronary artery disease. 18615355 - Forearm vessel atherosclerosis. a harbinger of carotid disease? 15194035 - Impact of carotid arterial narrowing on outcomes of patients with acute coronary syndro... 19163155 - A virtual instrument for real time in vivo measurement of carotid artery compliance. 19698045 - Balloon angioplasty of the a2 segment of the anterior cerebral artery for recurrent, sy... 9670825 - Anomalous origin of coronary arteries and risk of sudden death: a study based on an aut... |
Publication Detail:
|
Type: Evaluation Studies; Journal Article |
Journal Detail:
|
Title: The Journal of cardiovascular surgery Volume: 50 ISSN: 0021-9509 ISO Abbreviation: J Cardiovasc Surg (Torino) Publication Date: 2009 Apr |
Date Detail:
|
Created Date: 2009-03-30 Completed Date: 2009-07-31 Revised Date: 2009-11-11 |
Medline Journal Info:
|
Nlm Unique ID: 0066127 Medline TA: J Cardiovasc Surg (Torino) Country: Italy |
Other Details:
|
Languages: eng Pagination: 189-93 Citation Subset: IM |
Affiliation:
|
Department of Vascular Surgery, San Filippo Neri Hospital, Rome, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aged, 80 and over Angioplasty, Balloon / adverse effects, instrumentation, methods* Carotid Stenosis / radiography, therapy* Catheterization, Peripheral* / adverse effects Feasibility Studies Female Humans Male Stents Stroke / etiology, prevention & control* Temporal Arteries* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: SPREAD Italian Guidelines for stroke. Indications for carotid endarterectomy and stenting*.
Next Document: PEPE II - A multicenter study with an end-point heparin-bonded expanded polytetrafluoroethylene vasc...