The use of intraoperative monitoring and treatment of symptomatic microemboli in carotid artery stenting: Case report and discussion

Neuroradiology

Volumn 49, Issue 3, 2007, Pages 265-269

  Rangi, Perm S ^a   Markus, H S ^b   Punter, M N M ^a   Clifton, A ^a  

^a ST GEORGE S HOSPITAL   (United Kingdom)

^b ST GEORGE'S UNIVERSITY OF LONDON   (United Kingdom)

Author keywords

Carotid; Dextran; Stent; Stroke

Indexed keywords

ACETYLSALICYLIC ACID; ANTITHROMBOCYTIC AGENT; ATROPINE; CLOPIDOGREL; DEXTRAN 40; NORADRENALIN; S NITROSOGLUTATHIONE;

AGED; ARTICLE; BALLOON DILATATION; BRAIN EMBOLISM; CASE REPORT; CONVENTIONAL ANGIOGRAPHY; DOPPLER ECHOGRAPHY; DRUG DOSE TITRATION; DYSARTHRIA; DYSPHASIA; FEMALE; HEMIPARESIS; HUMAN; HYPOTENSION; INTERNAL CAROTID ARTERY OCCLUSION; INTRAOPERATIVE PERIOD; MAGNETIC RESONANCE ANGIOGRAPHY; NUCLEAR MAGNETIC RESONANCE IMAGING; PATIENT MONITORING; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PROTECTIVE EQUIPMENT; SENSORY DYSFUNCTION; STENT; TRANSIENT ISCHEMIC ATTACK;

AGED; ANGIOGRAPHY, DIGITAL SUBTRACTION; ANTICOAGULANTS; CAROTID STENOSIS; CEREBRAL ANGIOGRAPHY; FEMALE; HUMANS; INTRACRANIAL EMBOLISM AND THROMBOSIS; MAGNETIC RESONANCE IMAGING; MONITORING, INTRAOPERATIVE; STENTS; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL;

EID: 33847372547     PISSN: 00283940     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00234-006-0172-2     Document Type: Article

References (17)

1. Ferguson GG, Eliasziw M, Barr HWK et al (1999) The North American Symptomatic Carotid Endarterectomy Trial (NASCET). Stroke 30:1751-1758
2. Anonymous (1998) Randomised trial of endarterectomy for recent symptomatic carotid stenosis: Final results of the MRC European Carotid Surgery Trial (ECST). Lancet 351:1379-1387
3. CARESS Steering Committee (2005) Carotid Revascularization Using Endarterectomy or Stenting Systems (CaRESS) phase I clinical trial: 1 year results. J Vasc Surg 42:213-219
4. Ziada KM, Yadav JS, Mukherjee D et al (2005) Comparison of results of carotid stenting followed by open heart surgery versus combined carotid endarterectomy and open heart surgery (coronary bypass with or without another procedure). Am J Cardiol 96:519-523
5. Roubin GS, New G, Ivyer SS et al (2001) Immediate and late clinical outcomes of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis: A 5-year prospective analysis. Circulation 103:532-537
6. Wholey MH, Wholey M, Mathiask et al (2000) Global experience in cervical carotid artery stent placement. Catheter Cardiovasc Interv 50:160-167
7. Reimers B, Corvaja N, Moshirir S et al (2001) Cerebral protection with filter devices during carotid artery stenting. Circulation 104:12-15
8. Ohki T, Roubin GS, Veith FT et al (1999) Efficacy of filter device in the prevention of embolic events during carotid angiography and stenting: An ex vivo analysis. J Vasc Surg 30:1034-1044
9. Crawley F, Clifton A, Buckenham T, Loosemore T, Taylor RS, Brown MM (1997) Comparison of hemodynamic cerebral ischemia and microembolic signals detected during carotid endarterectomy and carotid angioplasty. Stroke 28:2460-2464
10. Levi CR, O'Malley HM, Fell G, Roberts AK et al (1997) Transcranial Doppler detected cerebral microembolism following carotid endarterectomy. High microembolic signal loads predict post-operative cerebral ischaemia. Brain 120:21-29
11. Lennard N, Smith J, Dumville J, Abbott R, Evans DH, London NJ, Bell PR, Naylor AR (1997) Prevention of postoperative thrombotic stroke after carotid endarterectomy: The role of transcranial Doppler. J Vasc Surg 26:579-584
12. McCabe DJ, Pereira AC, Clifton A, Bland JM, Brown MM (2005) Restenosis after carotid angioplasty, stenting, or endartectomy in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS). Stroke 36:281-286
13. Featherstone RL, Brown MM, Coward LJ, ICSS Investigators (2004) International carotid stenting study: Protocol for a randomised clinical trial comparing carotid stenting with endarterectomy in symptomatic carotid artery stenosis. Cerebrovasc Dis 18:69-74
14. Erdtmann M, Keller R, Baumann H (1994) Photochemical immobilization of heparin, dermatan sulphate, dextran sulphate and endothelial cell surface heparin sulphate onto cellulose membranes for the preparation of athrombogenic and antithrombogenic polymers. Biomaterials 15:1043-1048
15. Christenson JT, Al-Huneidi W, Saleh RA (1988) Distal embolisation from the surface of PTFE grafts in vivo and the effect of low molecular weight dextran. Eur J Vasc Surg 2:121-125
16. Aberg M, Hedner U, Bergentz SE (1979) Effect of dextran on factor VIII (antihemophilic factor) and platelet function. Ann Surg 189:243-247
17. Naylor AR, Hayes PD, Allroggen H, Lennard N, Gaunt ME, Thompson MM, London NJM, Bell PRF (2000) Reducing the risk of carotid surgery: A 7-year audit of the role of monitoring and quality control assessment. Eur J Vasc Surg 32:750-759