Technique and outcome of ostial common carotid artery stenting: a single centre experience

Abstract

Stenting of ostial lesions of the common carotid artery appears safe and effective.

Transfemoral endovascular treatment of atherosclerotic stenotic lesions of the left common carotid artery ostium: case series and review of the literature

“…Similar reports have reported similar outcomes (table 1). The largest such series includes 16 patients undergoing transfemoral LCCAO stenting with one periprocedural TIA and no permanent neurological sequelae 7. One report included eight cases of LCCAO stenosis, four of which were treated with a transfemoral approach with no perioperative events 8.…”

Stenting of the Stenotic Common Carotid Artery Ostium by the Buddy Wire Technique: A Case Report

“…To the present, techniques including the coaxial use of a distal protection device and a 0.014-inch guidewire, 10) penetration of the stenosed area using a guiding catheter, 11) and the use of two distal balloon protection devices 12) have been reported. From the viewpoint of prevention of distal embolism as a complication, passing the guiding catheter through the stenosed area should be avoided.…”

“…[2][3][4][5][6][7][8][9][10][11][12] While reports restricting the target to the common carotid artery lesions are few, Linni et al 9) observed the absence of cranial nerve damage and lymphorrhea as advantages of endovascular treatment in a study restricted to 52 patients with common carotid artery lesions and recommended endovascular treatment as the first choice and other direct surgical procedures as useful alternatives. Van de Weijer et al 18) reported that lesion cross was impossible in 4 of the 144 patients who underwent endovascular treatment, particularly, in 2 of the 5 patients with occluded lesions.…”

“…To the present, various techniques including bypass, transposition, ring-stripping retrograde CEA, retrograde percutaneous transluminal angioplasty (PTA), CAS, and transfemoral PTA or CAS have been reported, but all these procedures are more complex than CEA or CAS for stenosis of the internal carotid artery origin. [2][3][4][5][6][7][8][9][10][11][12] In performing transfemoral CAS, securing of the stability of the guiding catheter poses a greater problem because of the more proximal location of the lesion, and various techniques for catheter stabilization have been developed. [10][11][12] We performed CAS with the buddy wire technique 13) and a distal filter protection device for a stenotic lesion at the origin of the common carotid artery and obtained a favorable outcome.…”

Acute Ischemic Stroke due to Common Carotid Ostial Disease with Tandem Intracranial Occlusions Treated with Thrombectomy and Staged Retrograde Stenting

“…Some operators choose to use 0.035-inch balloon-mounted stents over the 0.014-inch EPD monorail wire. In order to avoid the potential of lack of support using this technique, Cam et al [14] describe an innovative technique of deploying a 0.035-inch balloon-mounted stent over a 0.014-inch EPD wire adjacent to a 0.014-inch buddy wire in their report on 17 cases of CCA ostial stenting. Our second patient was treated with a 0.014-inch-system Herculink Elite balloon-mounted stent, which can be deployed over an EPD.…”