Semin intervent Radiol 2007; 24(2): 226-233
DOI: 10.1055/s-2007-980045
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Carotid Intervention 2: Technical Considerations

Geert Maleux1 , Sam Heye1
  • 1Department of Radiology, University Hospitals Gasthuisberg, Leuven, Belgium
Further Information

Publication History

Publication Date:
12 June 2007 (online)

ABSTRACT

Carotid angioplasty and stenting (CAS) is an evolving technique for treating patients with carotid occlusive disease. However, technical and clinical outcomes are closely related to the knowledge and experience of the interventionalist, and procedural mistakes often lead to serious neurological complications. This article discusses the preinterventional workup of a patient selected for CAS, the different steps of a CAS procedure, the potential complications, how to avoid them, and once they occur how to intervene. Finally, a short overview of the follow-up is given.

REFERENCES

  • 1 Amar A P, Larsen D W, Teitelbaum G P. Percutaneous carotid angioplasty and stenting with the use of gadolinium in lieu of iodinated contrast medium: technical case report and review of the literature.  Neurosurgery. 2001;  49 1262-1265 , discussion 1265-126
  • 2 Gopalan D, Thomas S M. Pharmacotherapy for patients undergoing carotid stenting.  Eur J Radiol. 2006;  60 14-19
  • 3 Phatouros C C, Higashida R T, Malek A M et al.. Carotid artery stent placement for atherosclerotic disease: rationale, technique and current status.  Radiology. 2000;  217 26-41
  • 4 Maleux G, Demaerel P, Verbeken E et al.. Cerebral ischemia after filter-protected carotid artery stenting is common and cannot be predicted by the presence of substantial amount of debris captured by the filter device.  AJNR Am J Neuroradiol. 2006;  27 1830-1833
  • 5 Hart J P, Peeters P, Verbist J et al.. Do device characteristics impact outcome in carotid artery stenting?.  J Vasc Surg. 2006;  44 725-730
  • 6 Maleux G, Bernaerts P, Thijs V et al.. Extracranial carotid artery stenting in surgically high-risk patients using the Carotid Wallstent endoprosthesis: midterm clinical and ultrasound follow-up results.  Cardiovasc Intervent Radiol. 2003;  26 340-346
  • 7 McKevitt F M, Randall M S, Cleveland T J et al.. The benefits of combined anti-platelet treatment in carotid artery stenting.  Eur J Vasc Endovasc Surg. 2005;  29 522-527
  • 8 Brott T, Adams H P, Olinger C P et al.. Measurements of acute cerebral infarction: a clinical examination scale.  Stroke. 1989;  20 864-870
  • 9 Wholey M H, Wholey M H, Eles G. Endovascular procedures for carotid artery occlusive disease.  Tech Vasc Interv Radiol. 2004;  7 168-186

Geert MaleuxM.D. 

Department of Radiology, University Hospitals Leuven

Herestraat 49, B-3000 Leuven, Belgium

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