×
It looks like you're using an obsolete version of internet explorer. Internet explorer is no longer supported by Microsoft since the end of 2015. We invite you to use a newer browser such as Firefox, Google Chrome or Microsoft Edge.
29398 views


Left Internal Carotid Artery Occlusion with Progressive Right Internal Carotid Artery Stenosis


This 18 minutes didactic recorded procedure concerns a 68 years male with coronary insufficiency and carotid lesions. He presents an occluded left internal carotid artery associated with a severe ulcerated worsening right internal carotid stenosis.
This complex stenosis was treated by new micromesh carotid stent under carotid protection by filter . Watch this informative procedure on how to treat patients with multiple carotid lesions.

Step-by-Step Procedure

  • Femoral access for carotid angioplasty
  • Common carotid access in tortuous aorta
  • Analysis of carotid lesion by selective angiography
  • Placement of filter as embolic protecting device
  • Pre-dilatation and artery preparation before carotid artery stenting
  • Placement of braided micromesh stent Roadsaver
  • Post Stenting dilatation and analysis of results
  • Filter retrieval and evaluation of carotid circulation  

Learning points

  • How to access from groin the brachio-cephalic trunk in a tortuous aorta
  • The use of two guidewires to access common carotid
  • Placement of filter in a tortuous carotid artery
  • Predilatation and preparation of carotid lesion before stenting
  • Accurate placement of new micromesh carotid stent
  • Cardiac monitoring during carotid stenting

Bibliography

 

Shooting date : 2017-09-28
Last update : 2021-05-11
Max Amor
Essey-lès-Nancy, France

Our Cases of the Month

The case of the month is a new way for our users to watch, learn, and share with incathlab. They can watch a video that highlights an innovative case and uses excellent pedagogical techniques, lear...

Share

Workshop on Complex PCI (Clinique Louis Pasteur - Nancy)

We are pleased to announce you that the Guerbet Masterclass which took place on September 2017 at the Clinique Louis Pasteur (Nancy, France) is available online for all participants. Rediscove...

Share
15 comments
Join the Discussion
See previous comments (5)
  • arie B. 'ישא 'שד איק ןמגןבשאןםמ שדטצפאםצשאןב פשאןקמא 'ןאי ךקדד איקמ 50% דאקמםדןד?.

    • Max A. dont understand . Sorry

    Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
    Your browser doesn't have Flash, Silverlight or HTML5 support.


  • AWADHESH D. Nice

    Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
    Your browser doesn't have Flash, Silverlight or HTML5 support.


  • Zambonialbe A. Very interesting case !

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    • Alexander P. super

      • Max A. Thank you

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    • Chun-Yuan C. Will direct stenting be another choice ?

      • Max A. Sorry for the delay .
        I recommend to predilate for this micromesh Stent to be sure to have an harmonious deployment to easen the crossing . It is particularly important with the CGuard stent

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    • Milan M. Nice example! According to your experience, how do the Micromash Stents behave in highly calcified lesions? Thank You

      • Max A. In very calcified lesions it is indispensable to prepare the lesion by a pre-dilatation in order to be sure that the residual stenosis is not Severe .

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    • Mohammed R. Good

      • Max A. Thank You

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    • Maher J. Perfect job

        Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
        Your browser doesn't have Flash, Silverlight or HTML5 support.


      • Maher J. Nice job

          Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
          Your browser doesn't have Flash, Silverlight or HTML5 support.


        Suggestions

        Monday, November 30th -0001 from 12am to 12am (GMT+1)
        Honolulu : Monday, November 29th 1999 from 01pm to 01pm (GMT-10)
        San Francisco : Monday, November 29th 1999 from 03pm to 03pm (GMT-8)
        New York : Monday, November 29th 1999 from 06pm to 06pm (GMT-5)
        Buenos Aires : Monday, November 29th 1999 from 08pm to 08pm (GMT-3)
        London / Dublin : Monday, November 29th 1999 from 11pm to 11pm (GMT)
        Paris / Berlin : Tuesday, November 30th 1999 from 12am to 12am (GMT+1)
        Istanbul : Tuesday, November 30th 1999 from 01am to 01am (GMT+2)
        Moscou / Dubaï : Tuesday, November 30th 1999 from 03am to 03am (GMT+4)
        Bangkok : Tuesday, November 30th 1999 from 06am to 06am (GMT+7)
        Shanghai : Tuesday, November 30th 1999 from 07am to 07am (GMT+8)
        Tokyo : Tuesday, November 30th 1999 from 08am to 08am (GMT+9)
        Sydney : Tuesday, November 30th 1999 from 09am to 09am (GMT+10)
        Wellington : Tuesday, November 30th 1999 from 11am to 11am (GMT+12)

        Complex CTO: Ostial LAD CTO with ambiguous Proximal CAP

        Case of the month: May 2019

        Share
        Friday, June 29th 2018 from 09:40am to 11am (GMT+1)
        Honolulu : Thursday, June 28th 2018 from 10:40pm to 12am (GMT-10)
        San Francisco : Friday, June 29th 2018 from 01:40am to 03am (GMT-7)
        New York : Friday, June 29th 2018 from 04:40am to 06am (GMT-4)
        Buenos Aires : Friday, June 29th 2018 from 05:40am to 07am (GMT-3)
        Reykjavik : Friday, June 29th 2018 from 08:40am to 10am (GMT)
        London / Dublin : Friday, June 29th 2018 from 09:40am to 11am (GMT+1)
        Paris / Berlin : Friday, June 29th 2018 from 10:40am to 12pm (GMT+2)
        Istanbul : Friday, June 29th 2018 from 11:40am to 01pm (GMT+3)
        Moscou / Dubaï : Friday, June 29th 2018 from 12:40pm to 02pm (GMT+4)
        Bangkok : Friday, June 29th 2018 from 03:40pm to 05pm (GMT+7)
        Shanghai : Friday, June 29th 2018 from 04:40pm to 06pm (GMT+8)
        Tokyo : Friday, June 29th 2018 from 05:40pm to 07pm (GMT+9)
        Sydney : Friday, June 29th 2018 from 07:40pm to 09pm (GMT+11)
        Wellington : Friday, June 29th 2018 from 09:40pm to 11pm (GMT+13)

        Complex Right Coronary Artery CTO Procedure: Step-by-Step antegrade dissection reentry technique

        Case of the month: September 2018 - Live Case #6 MLCTO 2018

        Share

        Recanalization for limb salvage

        Three occlusions: femoral, popliteal and posterior tibial arteries - Case of the month: December 201...

        Share
        Scroll Up