Cervical Access for Filter-protected Carotid Artery Stenting: A Useful Tool to Reduce Cerebral Embolisation

Abstract

Transcervical filter-protected CAS, compared with classic percutaneous procedures, seems to reduce clinical events and DW-MRI ischaemic damage and may be useful in selected patients.

Surgical treatment of patients with chronic vascular cerebral failure in multifocal atherosclerosis lesion

“…In main group coronary complications that were causes of death were in 1.0%. It is not a bad index because some authors observed postoperative cardiac complications in 47-58% patients (Ignatev et al, 2011;Serajitdiniov, Vladimirsky and Lifentsov, 2011;Palomboa et al, 2010). Amputations of lower extremities in control group were made in 2.8%, and in main group -in 2.0% patients.…”

“…In control group they were 8.5%, in main group -4.0%. Based on literature data a number of postoperative complications reaches 12-33.3%, and 10-29.2% cases (Shaarafeev, Аkberov and Кorobov, 2009;Palomboa et al, 2010) required additional reconstructive operations in the nearest postoperative period. Lethality accounted for 8.5% in control group, and 2.0% -in main group.…”

Transbrachial Angioplasty and Stenting without Crossing the Aortic Arch for Right Carotid Artery Stenosis Patients with Complex Aortic Plaques

“…14) In other studies, comparing transcervical and transfemoral CAS, no contralateral hemispheric infarcts on DWI-MRI were found in the transcervical CAS group, unlike in the transfemoral CAS group. 15,16) However, transcervical CAS may cause major complications because CCA is close to significant anatomical structures. 14) Thus, transcervical CAS is more invasive than transfemoral, transbrachial, or transradial access.…”

Carotid Endarterectomy or Stenting in Octogenarians in a Monocentric Experience

“…Even in such case, the data must be interpreted in the light of the wide use of the transcervical approach that certainly concurs to decrease the embolic load and, therefore, the onset of new cerebral DW-MR lesions 32 .…”

“…undergoing respectively CEA or BMT, reported a better complication rate after carotid surgery (2% vs 16%) [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] .…”