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Case presentation

 

Clinical Data

  • Man, 82 years,
  • HTN, past smoking
  • Cancer of the tongue treated with radiotherapy
  • Occlusion of the Left internal carotid artery
  • Severe stenosis of the right internal carotid artery
  • Unsuccessfull surgical attempt to revascularize the right internal carotid artery

 

Previous Imaging

Angio:

  • Severe, long, irregular and sinuous stenosis of the right internal carotid artery, 1,5 cm above the bifurcation
  • Occlusion of the Left Internal Carotid artery
  • Poor suppleance from the right carotid to the left territories which depends almost exclusively on left vertebral vascularization 

 

 

Steps of the procedure:

1. access: 

  • Right femoral access, 8F, 23 cm BRITE TIP ® sheath, Cordis
  • Selective Catheterism  of the Right Common Carotid Artery with a H-Stick 8F, 100 cm Guiding Catheter (Cordis),

2. Distal embolic protection device placement

  • Deploiement of an Emboshield Pro Filter Carotid Protection ( Abbott Vascular)

3. Predilation, stenting and postdilation:

  • Predilation with a 4 x 30 mm TREK Coronary Balloon, Abbott
  • Deploiement of a 7-9 x 60 mm X-ACT Closed Cells Stent ( Abbott Vascular)
  • Postdilation with a 6 x 20 mm  balloon

4. Retrieval af the filter 

 

 

 

 

Shooting date : 2012-07-25
Last update : 2021-06-09
Max Amor
Essey-lès-Nancy, France

Carotid procedures: Improve your skills!

Improve your skills on carotid artery stenting procedures! You will be able to learn more about carotid artery access: femoral, brachial, radial.  Learn about carotid artery protection dur...

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Web Sympo on Carotid Revascularization

Live session from Louis Pasteur Clinic ,Nancy, France

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