Document Detail


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
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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.
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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


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