Cerebral protection during open retrograde angioplasty/stenting of common carotid and innominate artery stenoses

Payne, David A.; Hayes, Paul D.; Bolia, A.; Fishwick, Guy; Bell, P. R. F.; Naylor, A.R.

doi:10.1002/bjs.5232

Cited by 33 publications

(24 citation statements)

References 14 publications

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“…In 1 case of IA stenosis, cerebral protection was not possible due to a brachial approach. Payne et al 5 reported no new neurologic deficits in their study of cerebral protection during open retrograde angioplasty/stent placement of 4 IA lesions, including a synchronous carotid endarterectomy in 1 case. During the angioplasty and a stent placement procedure, no emboli were detected in the ipsilateral middle cerebral artery territory by using transcranial Doppler monitoring.…”

Section: Discussionmentioning

confidence: 96%

“…Simultaneous treatment of both lesions, consisting of a carotid endarterectomy combined with retrograde stent placement of the tandem lesion in the IA, has been described by various groups. [3][4][5]21,22 Allie et al 4 reported the combined treatment in 11 IA lesions, with a procedural success rate of 97%, and no significant restenosis found during a 34-month follow-up. …”

Section: Discussionmentioning

confidence: 99%

“…For IA stenosis with concomitant disease of the carotid bifurcation, open retrograde angioplasty and stent placement with or without concomitant carotid endarterectomy have been advocated as less invasive treatment alternatives to the traditional surgical procedures. 1,[3][4][5] Often the IA represents the most challenging supra-aortic trunk vessel due to its large diameter and short length as well as the bifurcation pattern into the right CCA and SCA. Endovascular stent-placement interventions have been reported with high technical and clinical success rates, low complication rates, and good midterm patency rates.…”

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confidence: 99%

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Percutaneous and Open Retrograde Endovascular Stenting of Symptomatic High-Grade Innominate Artery Stenosis: Technique and Follow-Up

Mordasini¹,

Gralla²,

Dd³

et al. 2011

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:Angioplasty and stenting of the IA have been reported with high technical and clinical success rates, low complication rates and good mid-term patency rates. Different antegrade or retrograde endovascular catheter-based approaches and combinations with surgical exposure of the CCA are used. The purpose of this study was to determine safety, efficacy and mid-term clinical and radiological outcome of the stent-assisted treatment of atherosclerotic stenotic disease of the IA with special focus on the different technical approaches.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Percutaneous and Open Retrograde Endovascular Stenting of Symptomatic High-Grade Innominate Artery Stenosis: Technique and Follow-Up

Mordasini¹,

Gralla²,

Dd³

et al. 2011

AJNR Am J Neuroradiol

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“…5) An advantage of this procedure is not only the short distance from the puncture site to the lesion, but also distal protection is possible. Payne et al 19) reported that no emboli were detected in the middle cerebral artery by transcranial Doppler monitoring. In our patient, mild stenosis was observed in the distal common carotid artery and at the internal carotid artery ostium, but it was not considered severe stenosis, which would require treatment.…”

Section: Disclosure Statementmentioning

confidence: 99%

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

Sato

Tone

Hara

et al. 2018

JNET

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Objective: A case in which carotid artery stenting (CAS) was performed via the femoral artery for stenosis of the left common carotid artery ostium is reported.Case Presentation: The patient was a 70-year-old man with multiple infarction of the right cerebral hemisphere that presented with a transient decrease in grip strength and numbness of the left hand. Occlusion of the right internal carotid artery and stenosis of the left common carotid artery ostium were demonstrated. CAS was performed using the buddy wire technique and a distal filter protection device for stenosis of the left common carotid artery ostium. The postoperative course was uneventful, and the patient was discharged to home 8 days after surgery. Conclusion:In CAS for stenotic lesions of the common carotid artery ostium, the concomitant use of the buddy wire technique is useful.

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“…Combined carotid endarterectomy and retrograde angioplasty or carotid artery stenting to treat mixed carotid bifurcation and proximal CCA stenosis has been reported, 1,3,6) but carotid artery stenting for isolated proximal CCA stenosis has not been well described. 4,7) We previously reported a case treated by the retrograde direct carotid approach. 7) Since then we have successfully treated additional four cases by this technique.…”

Section: Introductionmentioning

confidence: 99%

Cerebral Protection During Retrograde Carotid Artery Stenting for Proximal Carotid Artery Stenosis-Technical Note-

Tsutsumi

Kaneda

Onizuka

et al. 2007

Neurol. Med. Chir.(Tokyo)

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Carotid artery stenting for carotid bifurcation stenosis usually uses the transfemoral approach. However, in patients with proximal common carotid artery (CCA) stenosis, the guiding catheter is difficult to introduce into the narrow origin of the CCA without risking cerebral embolization before activation of the protection device. A technique of cerebral protection by internal carotid artery (ICA) clamping with or without simultaneous external carotid artery (ECA) clamping was used to treat patients with proximal CCA stenosis by the retrograde direct carotid approach. The carotid bifurcation was surgically exposed and retrograde catheterization was performed to approach the stenosis. The ICA was clamped during angioplasty and stenting to avoid cerebral embolization. The ECA was clamped simultaneously if any extracranial-intracranial anastomosis was present. None of five patients treated with this technique experienced ischemic complications attributable to this technique.

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Cerebral protection during open retrograde angioplasty/stenting of common carotid and innominate artery stenoses

Abstract: Retrograde angioplasty/stenting with or without synchronous CEA offers an alternative approach to treating patients with supra-aortic inflow disease.

Cited by 33 publications

References 14 publications

Percutaneous and Open Retrograde Endovascular Stenting of Symptomatic High-Grade Innominate Artery Stenosis: Technique and Follow-Up

Percutaneous and Open Retrograde Endovascular Stenting of Symptomatic High-Grade Innominate Artery Stenosis: Technique and Follow-Up

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

Cerebral Protection During Retrograde Carotid Artery Stenting for Proximal Carotid Artery Stenosis-Technical Note-

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