Early Experience Using the Wallgraft in the Management of Distal Microembolism from Common Iliac Artery Patholology

Kumins, Norman H.; Owens, Erik L.; Oglevie, Steven B.; Ronaghi, Amir H.; Bergan, John J.; Tripathy, Uttam; Sparks, Steven R.

doi:10.1007/s10016-001-0153-1

Cited by 13 publications

(2 citation statements)

References 14 publications

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“…There are successful reports of Dacroncovered stents used to cover severe atherosclerosis in the common iliac arteries in three patients with cholesterol embolization syndrome [37]. There have also been reports of percutaneous angioplasty and stenting of the iliac and femoral arteries in a small number of patients [38,39].…”

Section: Stentsmentioning

confidence: 97%

Complications of aortic atherosclerosis: Atheroemboli and thromboemboli

Molisse¹,

Tunick²,

Kronzon

2007

Curr Treat Options Cardio Med

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Patients with severe aortic atherosclerosis are at high risk for stroke and other embolic complications. Therapy to prevent emboli from aortic plaque is not yet established. Therefore, patients with atherosclerosis or risk factors for embolic disease should be identified and treated aggressively. Aspirin, smoking cessation, and control of blood pressure and glucose are important. Retrospective data in patients with severe aortic plaque support the use of statins to prevent stroke. Iatrogenic embolization can occur as a result of aortic manipulation during invasive vascular procedures or cardiovascular surgery. The risks and benefits of these procedures must be carefully weighed, and alternate approaches should be considered for patients with severe aortic atherosclerosis. For those who require coronary artery bypass graft (CABG) surgery, off-pump CABG is an option. Prophylactic aortic arch atherectomy should not be routinely performed. Aortic filters or stenting have been introduced but have not yet been fully evaluated. For patients who require angiography and have severe descending aortic, aortic arch, or abdominal aortic plaque, it is possible that a brachial (rather than a femoral) approach may avoid embolic complications.

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Section: Stentsmentioning

confidence: 97%

Complications of aortic atherosclerosis: Atheroemboli and thromboemboli

Molisse¹,

Tunick²,

Kronzon

2007

Curr Treat Options Cardio Med

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“…Kumins and colleagues demonstrated the feasibility of managing distal microembolization from common iliac artery pathology with the use of Wallgraft endoprosthesis. 63 The danger of atheromatous showers in patients with a diffusely atheromatous aorta during an endovascular procedure was recently addressed by Parodi and colleagues using a safety maneuver. 64 This maneuver involves inserting a balloon-tip catheter for occlusion of both common iliac arteries; flow is allowed through an iliac to femoral arterioarterial shunt connected to an inline filter.…”

Section: Endovascular Therapymentioning

confidence: 99%

Distal Peripheral Microembolism

Chauvapun

Dryjski

2005

Vascular

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Distal peripheral microembolism is caused by embolization of atherosclerotic debris into small arteries and arterioles. The recent advances in endovascular technique have been met with a gradual increase in the incidence of iatrogenic atheroembolism. This review seeks to explore the nature of distal peripheral microembolism, pathophysiology, and the management options, with a focus on iatrogenic distal peripheral microembolism.

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Atheroembolism

Tunick¹,

Kronzon²

2006

Vascular Medicine

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Early Experience Using the Wallgraft in the Management of Distal Microembolism from Common Iliac Artery Patholology

Cited by 13 publications

References 14 publications

Complications of aortic atherosclerosis: Atheroemboli and thromboemboli

Complications of aortic atherosclerosis: Atheroemboli and thromboemboli

Distal Peripheral Microembolism

Atheroembolism

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