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If blood flow in the ICA is reduced by the use of a distal filter during CAS, flow stagnation proximal to the filter occurs and this increases the probability of floating debris. The floating debris that remains after filter retrieval may cause cerebral embolism. However, if blood flow is increased by aspiration of blood from the ICA through an aspiration catheter, debris could be removed while the filter is still in place. The purpose of this study was to investigate blood flow changes in the ICA induced by filter use and aspiration.

american journal of neuroradiology

Blood Flow Changes Caused by Distal Filter Protection and Catheter Aspiration in the Internal Carotid Artery during Carotid Stenting: Evaluation Using Carotid Doppler Sonography