Rendezvous endovascular common carotid artery stenting (RECCAS) technique for symptomatic steno-occlusive disease

Wang, MT; Schembri, Mark A.; Kok, Hong Kuan; Maingard, Julian; Foo, Michelle; Lamanna, Anthony; Brooks, Mark; Asadi, Hamed

doi:10.1186/s42155-020-00194-3

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…An antegrade approach with some techniques has been reported, such as the buddy wire technique, using the gooseneck snare, distal balloon anchoring, stenting after the lesion crosses the guiding catheter, sheath pull-through technique, and the pull-through technique with direct puncture of the CCA. [6][7][8][9][10][11] These techniques mainly focused on the stability of the guiding catheter. In addition, there are some risks of perioperative stroke.…”

Section: Discussionmentioning

confidence: 99%

Stenting of the Common Carotid Artery Ostium: Balloon Catheter Lifting-Up Technique With a Gooseneck Snare

Terakado¹,

Matsumaru

Ishikawa

2023

Vasc Endovascular Surg

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Endovascular revascularization of a stenotic lesion requires appropriate stent positioning. In particular, stenting of the common carotid artery (CCA) ostium makes it difficult to avoid proptosis into the aorta. Furthermore, the guiding catheter may become unstable during the stenting because of its position under the aortic arch. To resolve these problems, we performed antegrade stenting for a patient with a symptomatic stenotic left CCA ostium that was treated by lifting a balloon-guiding catheter with a gooseneck snare. Our patient was a 74-year-old man who presented to the hospital with main complaints of right hemiparesis and motor aphasia. A left cerebral infarction due to severe stenotic left CCA ostium was diagnosed. A CT perfusion study showed decreased cerebral blood flow in the left hemisphere. Stenting of the stenotic left CCA ostium was performed using an antegrade approach. A balloon-guiding catheter positioned under the aortic arch was inflated and lifted from the right brachiocephalic artery using a gooseneck snare. The guiding catheter was stabilized during stenting. This method is highly effective for stenting CCA ostium.

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Section: Discussionmentioning

confidence: 99%

Stenting of the Common Carotid Artery Ostium: Balloon Catheter Lifting-Up Technique With a Gooseneck Snare

Terakado¹,

Matsumaru

Ishikawa

2023

Vasc Endovascular Surg

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“…Retrograde CCA stenting (RCCAS) is a very well-described procedure that is often performed for stenosis or occlusion of the innominate artery or the CCA [ 11 ]. This may be accomplished as an isolated endovascular procedure or in conjunction with CEA to achieve the patency of the CCA [ 12 , 13 ]. This technique may also satisfy the recommendations provided by the ESVS advocating for an endovascular approach as a first option.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Common Carotid Artery Stenosis Managed With Carotid Endarterectomy

Murray-Ramcharan,

Coetzee,

Patalano

2023

Cureus

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Extracranial carotid artery disease is typical at the carotid bifurcation and internal carotid artery (ICA) and is rarely symptomatic from isolated common carotid artery (CCA) stenosis. We present the case of a 60-year-old female patient who presented with a transient ischemic attack (TIA) with significant stenosis of the ipsilateral CCA only, without any involvement of the ICA or bifurcation. This was treated with carotid endarterectomy (CEA) with desirable postoperative outcomes; at up to six months postoperative follow-up, this patient had no recurrence of symptoms. We draw attention to the current gap in the literature with regard to a lack of specific guidelines for optimal evidence-based surgical treatment for this specific condition, with recent advances within certain vascular societies.

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Clinical Instability and Watershed Infarction Due to Ostial Stenosis of the Left Common Carotid Artery: Filter-Protected Balloon-Expandable Stent-Assisted Common Carotid Artery Angioplasty with Excellent Angiographic and Clinical Results

Cohen

Filioglo

Leker

et al. 2022

The Ischemic Stroke Casebook

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Rendezvous endovascular common carotid artery stenting (RECCAS) technique for symptomatic steno-occlusive disease

Cited by 4 publications

References 10 publications

Stenting of the Common Carotid Artery Ostium: Balloon Catheter Lifting-Up Technique With a Gooseneck Snare

Stenting of the Common Carotid Artery Ostium: Balloon Catheter Lifting-Up Technique With a Gooseneck Snare

Symptomatic Common Carotid Artery Stenosis Managed With Carotid Endarterectomy

Clinical Instability and Watershed Infarction Due to Ostial Stenosis of the Left Common Carotid Artery: Filter-Protected Balloon-Expandable Stent-Assisted Common Carotid Artery Angioplasty with Excellent Angiographic and Clinical Results

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