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Transradial carotid artery stenting with proximal embolic protection
Author(s) -
Trani Carlo,
Burzotta Francesco,
Coroleu Santiago Federico
Publication year - 2009
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22014
Subject(s) - medicine , aortic arch , stenosis , carotid arteries , carotid stenting , radial artery , surgery , common carotid artery , radiology , cardiology , artery , aorta , carotid endarterectomy
Proximal embolic protection devices (PPDs) are increasingly used during carotid artery stenting (CAS) due to the theoretical advantage of cerebral protection during the entire procedure. Transradial approach reduces access site vascular complications and can be useful for CAS in patients at high bleeding risk, with contraindications for prolonged bed rest and when a bovine aortic arch is present. Due to the large size of the available equipment, PPDs have only been employed by transfemoral approach. Recently, one PPD (MoMa, Invatec, Roncadelle, Italy) has become available in 8 Fr configuration. Such improved design may theoretically permit its introduction in the radial artery. Here we report three cases of severe internal carotid artery stenosis successfully treated by CAS with 8 Fr MoMa using transradial approach, showing the technical feasibility of such procedure. © 2009 Wiley‐Liss, Inc.