Video credit – Christian Vuolo – Synaps

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Shooting date : 2010-12-14
Last update : 2015-09-08
Language(s) : English
Views : 47033

Left internal carotid stenosis demonstrating a large ulceration

Patient n°1

Mr D. - 82 years old

Asymptomatic carotid artery stenosis

Reasons for carotid revascularization:

  • Fast progression of carotid artery stenosis (serial 2d echo)

Reasons for carotid stenting:

  • high risk for carotid endarterectomy

Risk factors and medical history

  • HTN
  • Dyslipidemia
  • severe symtomatic coronary artery disease, severe stenosis LAD bifurcation with diagonal branch, CTO of RCA, Provisional stenting of LAD bifurcation
  • AAA 42mm
  • Anti platelet therapy: ASPIRIN, CLOPIDOGREL

Cerebral CT scan:

  • Presence of left and right hemisphere ischemic signs


  • Right internal carotid stenosis 

Planned carotid artery stenting procedure

  • Femoral approach, carotid distal protection with filter,  Open cells stent 


EZ FilterWire (Boston Scientific)
Acculink Carotid Conical Stent (Abbott Vascular)

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Multivascular patients management

Objectifs du cours Les patients Multivasculaires (plusieurs sites athéromateux), encore appelés polyvasculaires, représente 15% des patients explorés et prése...

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