×
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.
29403 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+2)
        Honolulu : Monday, November 29th 1999 from 12pm to 12pm (GMT-10)
        San Francisco : Monday, November 29th 1999 from 02pm to 02pm (GMT-8)
        New York : Monday, November 29th 1999 from 05pm to 05pm (GMT-5)
        Buenos Aires : Monday, November 29th 1999 from 07pm to 07pm (GMT-3)
        London / Dublin : Monday, November 29th 1999 from 10pm to 10pm (GMT)
        Paris / Berlin : Monday, November 29th 1999 from 11pm to 11pm (GMT+1)
        Istanbul : Tuesday, November 30th 1999 from 12am to 12am (GMT+2)
        Moscou / Dubaï : Tuesday, November 30th 1999 from 02am to 02am (GMT+4)
        Bangkok : Tuesday, November 30th 1999 from 05am to 05am (GMT+7)
        Shanghai : Tuesday, November 30th 1999 from 06am to 06am (GMT+8)
        Tokyo : Tuesday, November 30th 1999 from 07am to 07am (GMT+9)
        Sydney : Tuesday, November 30th 1999 from 08am to 08am (GMT+10)
        Wellington : Tuesday, November 30th 1999 from 10am to 10am (GMT+12)

        Complex CTO: Ostial LAD CTO with ambiguous Proximal CAP

        Case of the month: May 2019

        Share

        Recanalization for limb salvage

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

        Share
        Scroll Up