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Chapters (10)
Description
Shooting date : 2017-09-28
Last update : 2017-11-08
Language(s) : English


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


This 18 minutes didactic reco...


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

 

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  • arie B. 'ישא 'שד איק ןמגןבשאןםמ שדטצפאםצשאןב פשאןקמא 'ןאי ךקדד איקמ 50% דאקמםדןד?.

    • Max A. dont understand . Sorry

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  • AWADHESH D. Nice

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  • Zambonialbe A. Very interesting case !

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    • Alexander P. super

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

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