Silent ischemia after neuroprotected percutaneous carotid stenting: A diffusion-weighted MRI study

American Journal of Neuroradiology

Volumn 27, Issue 6, 2006, Pages 1338-1345

  Piñero, Pilar ^a,b   Gonzalez A ^a   Mayol, A ^a   Martinez E ^a   Gonzalez Marcos J R ^a   Boza, F ^a   Cayuela, A ^a   Gil Peralta, A ^a  

^a HOSPITAL UNIVERSITARIO VIRGEN DEL ROCÍO   (Spain)

^b NONE   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; BRAIN EMBOLISM; BRAIN ISCHEMIA; BRAIN PROTECTION; CAROTID ARTERY; CAROTID ARTERY OBSTRUCTION; DEVICE; DIFFUSION WEIGHTED IMAGING; DOPPLER ECHOGRAPHY; FEMALE; FILTER; HUMAN; INTERNAL CAROTID ARTERY; INTERVENTIONAL RADIOLOGY; MAJOR CLINICAL STUDY; MALE; MICROEMBOLISM; MIDDLE CEREBRAL ARTERY; MIDDLE CEREBRAL ARTERY OCCLUSION; NEURORADIOLOGY; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; POSTERIOR FOSSA; STENT; TRANSIENT ISCHEMIC ATTACK; MAGNETIC RESONANCE ANGIOGRAPHY; MIDDLE AGED; RADIOGRAPHY;

ADULT; AGED; AGED, 80 AND OVER; ANGIOPLASTY, BALLOON; BRAIN ISCHEMIA; CAROTID ARTERY, INTERNAL; CAROTID STENOSIS; DIFFUSION MAGNETIC RESONANCE IMAGING; FEMALE; HUMANS; INTRACRANIAL EMBOLISM; MAGNETIC RESONANCE ANGIOGRAPHY; MALE; MIDDLE AGED; RADIOGRAPHY, INTERVENTIONAL; STENTS;

EID: 33747396912     PISSN: 01956108     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (29)

1. Yadav JS, Wholey MH, Kuntz RE, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med 2004;351:1493-501
2. Ohki T, Marin ML, Lyon RT. Ex vivo human carotid artery bifurcation stenting:correlation of lesion characteristics with embolic potential. J Vasc Surg 1998;27:463-71
3. Manninen HI, Rasanen HT, Vanninen RL, et al. Stent placement versus percutaneous transluminal angioplasty of human carotid arteries in cadavers in situ: distal embolization and findings at intravascular US, MR imaging and histopathological analysis. Radiology 1999;212:483-92
4. Jordan WD, Voellinger DC, Doblar DD, et al. Microemboli detected by transcranial Doppler monitoring in patients during carotid angioplasty versus carotid endarterectomy. Cardiovasc Surg 1999;7:33-38
5. Theron JG, Payelle GG, Coskun O, et al. Carotid artery stenosis: Treatment with protected balloon angioplasty and stent placement. Radiology 1996;201:627-36
6. Crawley F, Clifton A, Buckenham T, et al. Comparison of hemodynamic cerebral ischemia and microembolic signals detected during carotid endarterectomy and carotid angioplasty. Stroke 1997;28:2460-64
7. Crawley F, Stygall J, Lunn S, et al. Comparison of microembolism detected by transcranial Doppler and neuropsychological sequelae of carotid surgery and percutaneous transluminal angioplasty. Stroke 2000;31:1329-34
8. Lövblad K, Laubach H, Baird AE, et al. Clinical experience with diffusion-weighted MR in patients with acute stroke. AJNR Am J Neuroradiol 1998;19:1061-66
9. Beauchamp NJ, Ulug AM, Passe TJ, et al. MR diffusion imaging in stroke: review and controversies. Radiographics 1998;18:1269-85
10. Beauchamp NJ, Barker PB, Wang PY, et al. Imaging of acute cerebral ischemia. Radiology 1999;212:307-24
11. Crisostomo RA, Garcia MM, Tong DC. Detection of diffusion-weighted MRI abnormalities in patients with transient ischemic attacks: correlation clinical characteristics. Stroke 2003;34:932-37
12. Rovira A, Rovira-Gols A, Pedraza S, et al. Diffusion-weighted MR imaging in the acute phase of transient ischemic attacks. AJNR Am J Neuroradiol 2002;23:77-83
13. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade stenosis. N Engl J Med 1991;325:445-53
14. Schlüter M, Tübler T, Steffens JC, et al. Focal ischemia of the brain after neuroprotected carotid artery stenting. JACC 2003;42:1007-13
15. Zwenneke H, Ouhlous M, Hendriks J, et al. Cerebral ischemia after carotid intervention. J Endovasc Ther 2004;11:251-57
16. Jaeger H, Mathias K, Drescher R. Clinical results of cerebral protection with a filter device during stent implantation of the carotid artery. Cardiovasc Intervent Radiol 2001;24:249-56
17. Jaeger H, Mathias K, Hauth E, et al. Cerebral ischemia detected with diffusion-weighted MR imaging after stent implantation in the carotid artery. AJNR 2002;23:200-07
18. Lövblad KO, Plüschke W, Remonda L. Diffusion-weighted MRI for monitoring neurovascular interventions. Neuroradiology 2000;42:134-38
19. Poppert H, Wolf O, Resch M, et al. Differences in number, size and location of intracranial microembolic lesions after surgical versus endovascular treatment without protection device of carotid artery stenosis. J Neurol 2004;251:1198-203
20. van Heesewijk HP, Vos JA, Louwerse ES, et al. New brain lesions at MR imaging after carotid angioplasty and stent placement. Radiology 2002;224:361-65
21. Ammann P, Brunner-La Rocca HP, Angehrn W, et al. Procedural complications following diagnostic coronary angiography are related to the operator's experience and the catheter size. Cathet Cardiovasc Interv 2003;59:13-18
22. Khan M, Schmidt DH, Bajwa T, et al. Coronary air embolism: incidence, severity, and suggested approaches to the treatment. Cathet Cardiovasc Diagn 1995;36:313-18
23. Bendszus M, Koltzenburg M, Burger R, et al. Silent embolism in diagnostic cerebral angiography and neurointerventional procedures: a prospective study. Lancet 1999;354:1594-97
24. Bendzus M, Koltzenburg M, Bartsch AJ. Heparin and air filters reduce embolic events caused by intra-arterial cerebral angiography. Circulation 2004;110:2110-15
25. Coggia M, Goëau-Brissonnière O, Duval JL, et al. Embolic risk of the different stages of carotid bifurcation balloon angioplasty: an experimental study. J Vasc Surg 2000;31:550-57
26. Müller-Hülsbeck S, Jahnke T, Liess C, et al. In vitro comparison of four cerebral protection filters for preventing human plaque embolization during carotid interventions. J Endovasc Ther 2002;9:793-802
27. Omran H, Schmidt H, Hackenbroch M, et al. Silent and apparent cerebral embolism after retrograde catheterisation of the aortic valve in valvular stenosis: a prospective, randomised study. Lancet 2003;361:1241-46
28. Rapp J, Pan X, Sharp F, et al. Atheroemboli to the brain: size threshold for causing acute neuronal cell death. J Vasc Surg 2000;32:68-76
29. Wolf O, Heider P, Heinz M. Frequency, clinical significance and course of cerebral ischemic events after carotid endarterectomy evaluated by serial diffusion-weighted imaging. Eur J Endovasc Surg 2004;27:167-71