The results of a simplified technique for safe carotid stenting in the elderly

Abstract

The results of this preliminary study indicate that the transcervical approach with flow reversal during the insertion of the protecting filter allows CAS with minimal interruption of cerebral circulation and is simple and safe in patients unsuitable for CEA and transfemoral CAS for anatomic reasons. Further research with randomization and with pre-procedure and post-procedure diffusion-weighted magnetic resonance imaging (DW-MRI) is required in order to expand the indications of this method.

Results of carotid artery stenting with transcervical access

“…The system's design allows the circuit to drape down the patient's thorax and abdomen and allows a single interventionist to work between midchest and midabdomen away from the X ray source and image intensifier. 36 The second variation, described by Christopoulos et al, 23 implies only cannulation of the CCA and establishes retrograde flow toward a blood transfusion bag positioned as low as possible so that the pressure gradient ensures reverse ICA flow. The patients can be autotransfused after the procedure.…”

“…12,13 Of the remaining 23 publications, 17 were from the same author or institution. [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] The study that was most recent or that reported the largest number of patients was included in the analysis. 17,19,21,23,25,30 Twelve articles were considered.…”

“…[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] The study that was most recent or that reported the largest number of patients was included in the analysis. 17,19,21,23,25,30 Twelve articles were considered. 17,19,21,23,25,[30][31][32][33][34][35][36] The full texts of these articles were retrieved and reviewed.…”

“…17,19,21,23,25,30 Twelve articles were considered. 17,19,21,23,25,[30][31][32][33][34][35][36] The full texts of these articles were retrieved and reviewed. Data regarding number of patients, age, and the number of procedures, symptomatic status, technique used, anesthesia, technical success, complications, stroke, myocardial infarction, death rates, and follow-up were collected.…”

A Case of Tumor Embolization for Metastatic Bone Tumor and Stanford Type A Aortic Dissection under Direct Carotid Puncture

“…It is a safe and useful technique by which consistent hemostasis is possible regardless of the thickness of the sheath used or whether or not heparin is used. 6,[11][12][13][14][15][16][17][18][19] Demerits of the technique are complications associated with general anesthesia and prolongation of the surgical time. However, the merit of avoidance of the risk of puncture troubles and postoperative hematoma formation is significant, warranting the preparation of an environment capable of handling cervical incision under general anesthesia.…”