Carotid angioplasty and stenting under protection: State of the art

Minerva Cardioangiologica

Volumn 55, Issue 1, 2007, Pages 19-56

  Henry, M ^a,b   Polydorou, A ^c   Klonaris, C ^d   Henry, I ^e   Polydorou, A D ^f   Hugel, M ^a,b  

^a Cabinet de Cardiologie   (France)

^b Global Research Institute   (India)

^c IASO GENERAL HOSPITAL   (Greece)

^d UNIVERSITY OF ATHENS MEDICAL SCHOOL   (Greece)

^e Polyclinique Bois Bernard ^*  (France)

^f ONASSIS CARDIAC SURGERY CENTER   (Greece)

Author keywords

Angioplasty; Carotid stenosis; Stents

Indexed keywords

ACETYLSALICYLIC ACID; ANTICOAGULANT AGENT; ANTITHROMBOCYTIC AGENT; BILAVIRUDIN; CLOPIDOGREL; FIBRINOGEN RECEPTOR ANTAGONIST; FIBRINOLYTIC AGENT; HEPARIN; TICLOPIDINE; UNCLASSIFIED DRUG;

ANGIOPLASTY; BRAIN INFARCTION; BRAIN PROTECTION; CAROTID ARTERY OBSTRUCTION; CAROTID ENDARTERECTOMY; CATHETERIZATION; CLINICAL FEATURE; CLINICAL TRIAL; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED CLINICAL TRIAL; DIFFUSION WEIGHTED IMAGING; ECHOGRAPHY; HIGH RISK PATIENT; HUMAN; META ANALYSIS; NEUROLOGIC DISEASE; NUCLEAR MAGNETIC RESONANCE IMAGING; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; PROTECTIVE EQUIPMENT; RANDOMIZED CONTROLLED TRIAL; REVIEW; STENT; STROKE; SURGICAL TECHNIQUE; SYSTEMATIC REVIEW;

ADULT; AGED; AGED, 80 AND OVER; ANGIOPLASTY; CAROTID STENOSIS; CEREBROVASCULAR ACCIDENT; FEMALE; FRANCE; HUMANS; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; RISK FACTORS; STENTS; SURVIVAL ANALYSIS; TREATMENT OUTCOME;

EID: 33947598858     PISSN: 00264725     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (163)

1. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of the carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 1991;325:445-53.
2. European Carotid Surgery Trialists' Collaborative Group. MRC European Carotid Surgery Trial: Interim Results for symptomatic patients with severe (70-90%) or with mild (0-29%) carotid stenosis. Lancet 1991;337:1235-43.
3. Mayberg MR, Wilson SE, Yatsu F, Weiss DG, Messina L, Hershey LA. Carotid endarterectomy and prevention of cerebral ischemia in symptomatic carotid stenosis. Veterans Affairs Cooperative Studies Program 309 Trialists Group. JAMA 1991;266:3289-94.
4. Executive Committee for the asymptomatic carotid atherosclerotic study: endarterectomy for asymptomatic carotid artery stenosis. JAMA 1995;273:1421-8.
5. MRC Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group Prevention. Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet 2004;363:1491-502.
6. Hobson RW, Weiss DG, Fields WS. Efficacy of carotid endarterectomy for asymptomatic carotid stenosis: The Veterans Affairs Cooperative Study Group. N Engl J Med 1993;328:221-7.
7. Lusby RJ, Wylie EJ. Complications of carotid endarterectomy. Surg Clin North Am 1983;63:1293-301.
8. Rothwell PM, Slatterg J, Waslow CP. A systematic review of the risks of stroke or death due to endarterectomy for symptomatic carotid stenosis. Stroke 1996;27: 260-5.
9. McCrory DC, Golstein LC, Samsa GP. Predicting complications of carotid endarterectomy. Stroke 1993;24: 1285-91.
10. Heart and Stroke facts: 1996 Statistical Supplement. Dallas, TX: American Heart Association; 1996.
11. Graor RA, Helzer NR. Management of coexistent carotid artery and coronary artery disease. Curr Conc Cerebrovasc Dis Stroke 1988;23:19-23.
12. Newman DC, Hicks RG. Combined carotid and coronary artery surgery: a review of the literature. Ann Thorac Sur 1988;45:574-81.
13. nd ed. Philadelphia: W.B. Saunders; 1994.p.241-7.
14. nd ed. Philadelphia: W.B. Saunders; 1994.p.323-31.
15. Zierler RE, Brandyk DF, Thiele BL. Carotid artery stenosis following endarterectomy. Arch Surg 1982;117:1408-15.
16. Winslow CM, Solomon DH, Chassin MR. The appropriateness of carotid endarterectomy. N Engl J Med 1988;318:721-7.
17. Gaseeki AP, Eliaszio M, Ferguson GG. Long-term prognosis and effect of endarterectomy in patients with symptomatic severe carotid stenosis and contralateral stenosis or occlusion. Results from North American Symptomatic Carotid Endarterectomy Trial (NASCET) group. J Neurosurg 1995;83:778-82.
18. Ouriel K, Hertzer NR, Beven EG. Preprocedural risks stratification: identifying an appropriate population for carotid stenting. J Vasc Surg 2001;33:728-32.
19. Yadav JS, Roubin GS, Iyer SS. Elective stenting of the extracranial carotid arteries. Circulation 1997;95:376-81.
20. Diethrich EB, Ndiaye M, Reid DB. Stenting in the carotid artery: initial experience in 110 patients. J Endovasc Surg 1996;3:42-6.
21. Roubin GS, Yadav S, Iyer S. Carotid stent-supported angioplasty: a neurovascular intervention to prevent stroke. Am J Cardiol 1996;78 Suppl 3A:8-12.
22. Henry M, Amor M, Masson I. Angioplasty and stenting of the extracranial carotid arteries. J Endovasc Surg 1998;5:293-304.
23. Henry M, Amor M, Klonaris C. Angioplasty and stenting of the Extracranial Carotid Arteries. Tex Heart Inst J 2000;27:150-8.
24. Shawl F, Kadro W, Domanski MJ. Safety and efficacy of elective carotid artery stenting in high-risk patients. J Am Coll Cardiol 2000;35:1721-8.
25. Henry M, Amor M, Masson I. Endovascular treatment of atherosclerotic stenosis of the internal carotid artery. J Cardiovascular Surg 1998;39(1 Suppl 1):141-50.
26. Roubin GS, New G, Iyer S. Immediate and late clinical outcome of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis. Circulation 2001;103:532-7.
27. Wholey MH, Wholey MH, Tan WA. Management of neurological complication of carotid artery stenting. J Endovasc Ther 2001;8:341-53-
28. Cremonesi A, Castriota F, Manetti R. Endovascular treatment of carotid atherosclerotic disease: early and late outcome in a non selected population. Ital Heart J 2000;1:801-9.
29. Gupta A, Bhatia A, Shalev Y. Carotid stenting in patients older than 65 years with ingerable carotid artery disease: a single center experience. Catheter Cardiovasc Interv 2000;50:1-8.
30. CAVATAS investigators. Endovascular versus Surgical Treatment in Patients with Carotid Stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS: a randomised trial). Lancet 2001;357: 1729-37.
31. Brooks WH, Mc Lure RR, Jones MR. Carotid angioplasty and stenting versus carotid endarterectomy: randomised trial in a community hospital. J Am Coll Cardiol 2001;38:1589-95.
32. Vitek JJ, Raymon BC, Oh SJ. Innominate artery angioplasty. Am J Neuroradiol 1984;5:113-4.
33. Theron J, Raymond J, Casasco A, Courtheoux F. Percutaneous angioplasty of atherosclerotic and post-surgical stenosis of carotid arteries. AJNR Am J Neuroradiol 1987;8:495-500.
34. Henry M, Amor M, Henry I. Carotid stenting with cerebral protection: first clinical experience using the percusurge guardwire system. J Endovasc Surg 1999;6:321-31.
35. Henry M, Henry I, Klonaris C. Benefits of cerebral protection during carotid stenting with the Percusurge Guardwire system: Mid-term results. J Endovasc. Ther. 2002;9:1-13.
36. Theron J, Payelle G, Coskun O. Carotid artery stenosis: treatment with protected balloon angioplasty and stent placement. Radiology 1996;201:627-36.
37. Parodi JC, Lamura R, Ferreira LM. Initial evaluation of carotid angioplasty and stenting with three different cerebral protection devices. J Vasc Surg 2000;32:1127-36.
38. Al Mubarak N, Roubin GS, Vitek JJ. Effect of the distal-balloon protection system on microembolization during carotid stenting. Circulation 2001;104:1999-2002.
39. Mathias K, Jaeger M. How much cerebral embolization occurs during CAS? International Symposium on Endovascular Therapy, 2001, Miami.
40. Roubin GS. Carotid angioplasty and stenting under cerebral protection: the standard of care. International Congress XV, 2002, February 11-14, Scottsdale, AZ.
41. Schlueter M, Tuebler T, Haufe M. Single center experience with balloon protected carotid artery stenting in 98 patients. AHA Meeting, 2001, November 12, Anaheim, CA.
42. Mehran R, Roubin GS, New G. Neurologic events after carotid stenting with distal protection using an occlusion balloon: final results from the Café USA Trial. AHA Meeting, 2001, November 12, Anaheim, CA.
43. Castriota F, Cremonesi A, Manetti R. Carotid angioplasty and stenting with and without cerebral protection: single center experience in 275 consecutive patients. International Congress XV, 2002, February 11-14, Scottsdale, AZ.
44. Ohki T, Veith FJ. Carotid stenting with and without protection device: should protection be useful in all patients? Semin Vasc Surg 2000;13:144-52.
45. Ohki T, Roubin GS, Veith FJ. Efficacy of a filter device in the prevention of embolic events during carotid angioplasty and stenting. An ex-vivo analysis. J Vasc Surg 1999;30:1034-44.
46. Reimers B, Corvaja N, Moshiri S. Cerebral protection with filter devices during carotid artery stenting. Circulation 2001;104:12-5.
47. Biasi GM, Mingazzini PM, Baronio L. Carotid plaque characterization using digital image processing and its potential in future studies of carotid endartererctomy and angioplasty. J Endovasc Surg 1998;5:240-6.
48. Biasi GM, Sampaolo A, Mingazzini P. Computer analysis of ultrasonic plaque echolucency in identifying high risk carotid bifurcations lesions. Eur J Endovasc Surg 1999;17:476-9.
49. Biasi GM, Ferrari SA, Nicolaides AN. The ICAROS Registry of Carotid Artery Stenting. J Endovasc Ther 2001;8:46-53.
50. Ahmadi R, Willfort A, Lang W. Carotid artery stenting: effects of learning curve and intermediate-term morphological outcome. J Endovasc Ther 2001;8:539-46.
51. Myla S. Carotid access, techniques: an algorithmic approach. Carotid Interv 2001;3:2-12.
52. Gruberg L, Laird J, Satler L. Stent supported carotid artery angioplasty: the impact of renal function on the neurological outcome. J Am Coll Cardiol 2002;39 Suppl A:67A.
53. Reimers B, Castriota F, Corvaja N. Carotid artery stent implantation with cerebral protection: a multicenter experience of 320 procedures. J Am Coll Cardiol 2002;39 Suppl A:30A.
54. Sievert H, Reimers B, Biamino G. The MOMA Trial-Prospective multicenter clinical registry for carotid stenting with a new neuro-protection device based on endovascular clamping-30 day results. Late breaking Clinical trial at Euro-PCR, 2003, May 20-23, Paris, France.
55. Wholey MH, Al-Mubarak N, Wholey MH. Updated review of the global carotid artery stent registry. Cathet Cardiovasc Interv 2003;60:259-66.
56. Cremonesi A, Manetti R, Setacci F. Protected carotid stenting: clinical advantages and complications of embolic protection devices in 442 consecutive patients. Stroke 2003;34:1936-41.
57. Reimers B, Schlueter M, Castriota F. Routine use of cerebral protection during carotid artery stenting: results of a multicenter registry of 753 patients. Am J Med 2004;116:217-22.
58. Kastrup A, Groschel K, Frapf H. Early outcome of carotid and stenting with and without cerebral protection devices: a systematic review of the literature. Stroke 2003;34:813-9.
59. CARESS steering Committee. Carotid revascularization using endarterectomy or stenting systems (CARESS): phase I clinical trial. J Endovasc Ther 2003;10:1021-30.
60. th World Stroke Congress, 2004, June 23-26, Vancouver, Canada.
61. th annual Symposium, 2003, September 15-19, Washington, USA.
62. th annual Symposium, 2003, September 15-19, Washington, USA.
63. Yadav JS, Wholey MH, Kuntz RE. Protected carotid artery stenting versus endarterectomy in high-risk patients. N Engl J Med 2004;351:1493-501.
64. Ouriel K. SAPPHIRE study. Vasc News 2004;22:1-2.
65. nd Annual Meeting of the American College of Cardiology; 2003, March 30, Chicago, IL.
66. Whitlow PL. SECURITY: Multicenter registry in high-risk symptomatic and asymptomatic carotid disease with the Abbott Xact stent and MedNova filter. Presented at Transcatheter Cardiovascular Therapeutics (TCT), 2003, September 15-19, Washington, USA.
67. Ramee S. MAVERIC II. A prospective registry of carotid stenting with the Exponent stent and distal protection with the Guardwire in high-risk patients: 30-days results. Presented at Transcatheter Cardiovascular Therapeutics (TCT), 2004, September 27-October 1, Washington, USA.
68. White CJ, Iyer SS, Hopkins LN. Carotid stenting with distal protection in high surgical risk patients: the Beach Trial 30 day results. Catheter Cardiovasc Interv 2006;67:503-12.
69. Hopkins N. CABERNET: 30-day pivotal results. Presented at Transcatheter Cardiovascular Therapeutics (TCT), 2004, September 27-October 1, Washington, USA.
70. Roubin G. Carotid angioplasty and stenting. TCT Meeting, 2003, September 15-19, Washington, USA.
71. Mathias K. Carotid angioplasty and stenting. TCT Meeting, 2002, September 24-28, Washington, USA.
72. Weisz G, Iyer S, Vitek J. Short-term outcomes of carotid stenting in low and high surgical risk patients. J Am Coll Cardiol 2004;43:101A.
73. Yen M, Lee D, Kapadia S. Symptomatic patients have similar outcomes compared to asymptomatic patients after carotid artery stenting with emboli protection. J Am Coll Cardiol 2004;43:101A.
74. Arjomand H, Gordin P, Bruno N. Outcome of carotid artery stenting in high and low surgical risk patients. Am J Cardiol 2004;94:62E.
75. Reimers B, Sievert H, Schuler G, Tubler T, Diederich K, Schmidt A et al. Proximal endovascular flow blockage for cerebral protection during carotid artery stenting: results from a prospective multicenter registry. J Endovasc Ther 2005;12:156-65.
76. Parodi J, Bates MC, Schonholz CJ. Parodi Embolization System: description and first results. In: Henry M, Ohki T editors. Angioplasty and stenting of the carotid and supra-aortic trunks. London: Taylor and Francis; 2004. p. 523-30.
77. Schmidt A, Dederich KW, Scheinert S. Effect of two different neuroprotection systems on microembolization during carotid artery stenting. J Am Coll Cardiol 2004;44:1966-9.
78. Vos AJ, Vandenberg JC, Ernst SM. Carotid angioplasty and stent placement: comparison of transcranial Doppler VS data and clinical outcome with and without filtering cerebral protection devices in 509 patients. Radiology 2005;234:493-9.
79. Flach H, Ouhlous M, Hendriks J. Cerebral ischemia after carotid intervention. J Endovasc Ther 2004;11: 251-7.
80. Schlüter M, Tubler T, Steffens JC. Focal ischemia of the brain after neuroprotected carotid artery stenting. J Am Coll Cardiol 2003;42;1007-13.
81. Alberts MJ, McCann R, Smith TP. A randomized trial: carotid stenting versus endarterectomy in patients with symptomatic carotid stenosis, study designs. J Neurovasc Dis1997:228-34.
82. Alberts MJ. Results of a multicenter prospective randomized trial of carotid artery stenting vs carotid endarterectomy. Stroke 2001;32:325.
83. Wholey MH, Wholey M, Mathias K, Global experience in cervical carotid artery stent placement. Catheter Cardiovasc Interv 2000;50:160-7.
84. Naylor AR, Bolia A, Abbott RJ. Randomized study of carotid angioplasty and stenting versus carotid endarterectomy: a stopped trial. J Vasc Surg 1998;28:326-34.
85. Mas JL, Chatellier G, Beyssen B, Branchereau A, Moulin T, Becquemin JP et al. Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. N Engl J Med 2006;355:1660-71.
86. Rothwell PM, Eliasziw M, Gutnikov SA, Fox AJ, Taylor DW, Mayberg MR for the Carotid Endarterectomy Trialists Collaboration. Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis. Lancet 2003;361:107-16.
87. Rothwell PM, Eliasziw M, Gutnikov SA, Warlow CP, Barnett HJ, Carotid Endarterectomy Trialists Collaboration. Endarterectomy for symptomatic carotid stenosis in relation to clinical subgroups and timing of surgery. Lancet 2004;363:915-24.
88. Rothwell PM, Eliasziw M, Gutnikov SA, Warlow CP, Barnett HJM. Sex difference in the effect of time from symptoms to surgery on benefit from carotid endarterectomy for transient ischemic attack and minor stroke. Stroke 2004;35:2855-61.
89. Naylor AR. An update on the randomised trials of interventions for symptomatic and asymptomatic carotid artery disease. J Vasc Endovasc Surg 2006;13:111-20.
90. Mayo Asymptomatic Carotid Endarterectomy Study Group. Effectiveness of CEA for asymptomatic carotid stenosis: design of a clinical trial. Mayo Clinic Proc 1989;64:897-904.
91. The Casanova Study Group. Carotid surgery vs medical therapy in asymptomatic carotid stenosis. Stroke 1991;22:1229-35.
92. Naylor AR. The Asymptomatic Carotid Surgery Trial. Bigger study, better evidence. Br J Surg 2004;91:787-9.
93. Rothwell PM. ACST. Which subgroups will benefit most from carotid endarterectomy. Lancet 2004;364:1122-3.
94. Rothwell PM, Goldstein LB. Carotid Endarterectomy for asymptomatic carotid stenosis: the Asymptomatic Carotid Surgery Trial. Stroke 2004;35:2425-7.
95. Baker WH, Howard VJ, Howard G, Toole JF for the ACAS Investigators. Effect of contralateral occlusion on long-term efficacy of endarterectomy in the asymptomatic carotid atherosclerosis study (ACAS). Stroke 2000;31:2330-4.
96. Biasi GM. Is it time to reconsider the selection criteria for conventional or endovascular repair of carotid artery stenosis in the prevention of cerebral ischemia? J Endovasc Ther 2001;8:339-40.
97. Diethrich EB. Characterizing the carotid revascularization candidate: will plaque morphology be important? J Endovasc Ther 2001;8:44-5.
98. AbuRahma AF, Covelli MA, Robinson PA. The role of carotid duplex ultrasound in evaluating plaque morphology: potential use in selecting patients for carotid stenting. J Endovasc Surg 1999;6:59-65.
99. Biasi GM, Froio A, Deleo G, Lavitrano M. Indication for carotid endarterectomy vs carotid stenting for the prevention of brain embolization from carotid artery plaques: in search of consensus. J Endovasc Surg 2006;13:578-91.
100. Moussa I. Risk stratification may improve carotid stenting in asymptomatic patients. J Interv Cardiol 2005;18: 385-8.
101. Geroulakos G, Ramaswami G, Nicolaides A. Characterization of symptomatic and ansymptomatic carotid plaques using high-resolution real-time ultrasonography. Br J Surg 1993;80:1274-7.
102. Gray-Weale AC, Graham JC, Burnett JR. Carotid artery atheroma: comparison of preoperative B-mode ultrasound appearance with carotid endarterectomy specimen pathology. J Cardiovasc Surg (Torino) 1988;29:676-81.
103. Ohki T, Marin ML, Lyon RT. Ex vivo human carotid artery bifurcation stenting: correlation of lesion characteristics with embolic potentials. J Vasc Surg 1998;27:463-71.
104. Liapis CD, Kakisis JD, Kostakis AG. Carotid stenosis: factors affecting symptomatology. Stroke 2001;32: 2782-6.
105. Gronholdt ML, Nordestgaard BG, Schroeder TV, Vorstrup S, Sillesen H. Ultrasonic echolucent carotid plaques predict future strokes. Circulation 2001;104: 68-73.
106. Mathiesen EB, Bonaa KH, Joakimsen O. Echolucent plaques are associated with high risk of ischemic cerebrovascular events in carotid stenosis: the Tromo Study. Circulation 2001;103:2171-5.
107. Polak JF, Shemanski L, O'Leary DH. Hypoechoic plaque at US of the carotid artery: an independent risk factor for incident stroke in adults aged 65 years or older. Cardiovascular Health Study. Radiology 1998;208:649-54.
108. Nicolaides AN, Kakkos SK, Griffin M. Effect of image normalization on carotid plaque classification and the risk of ipsilateral hemispheric ischemic events: results from the asymptomatic carotid stenosis and risk of stroke study. Vascular 2005;13:211-21.
109. Biasi GM, Mingazzini PM Sampaolo A. Echographic characterization of the carotid plaque and risk of cerebral ischemia. Torino: Minerva Medica; 1995.
110. El-Barghouty N, Geroulakos G, Nicolaides A. Computer-assisted carotid plaque characterization. Eur J Vasc Endovasc Surg 1995;9:389-93.
111. Ackerstaff RG, Jansen C, Moll FL. The significance of microemboli detection by means of transcranial Doppler ultrasonography monitoring in carotid endarterectomy. J Vasc Surg 1995;21:963-9.
112. Tubler T, Schluter M, Dirsch O. Balloon-protected carotid angioplasty stenting: relationship of periprocedural neurological complications with the size of particulate debris. Circulation 2001;104:2791-6.
113. Honda O, Sugiyama S, Kugiyama K. Echolucent carotid plaques predict future coronary events in patients with coronary artery disease. J Am Coll Cardiol 2004;43:1177-84.
114. Setacci C, de Donato G, Setacci F. Instent restenosis after carotid angioplasty and stenting: a challenge for the vascular surgeon. Eur J Vasc Endovasc Surg 2005;29:601-7.
115. Jaeger HJ, Mathias KD, Hauth E. Cerebral ischemia detected with diffusion-weighted MR imaging after stent implantation in the carotid artery. AJNR Am J Neuroradiol 2002;23:200-7.
116. Johnsen SH, Mathiesen EB, Fosse E. Elevated high-density lipoprotein cholesterol levels are protective against plaque progression: a follow-up study of 1952 persons with carotid atherosclerosis the Tromo Study. Circulation 2005;112:498-504.
117. Spence JD, Tamoya A, Lownie Sp, Nq WP, Ferguson GG. Absence of microemboli on transcranial Doppler identifies low-risk patients with asymptomatic carotid stenosis. Stroke 2005;36:2373-8.
118. Bernick C, Kuller L, Dulberg C, Longstreth WT, Manolio T, Beauchamp N et al. Silent MRI infarcts and the risk of future stroke: the cardiovascular health study. Neurology 2001;57:1222-1229
119. Tegos TJ, Kalodiki E, Nicolaides AN, Sabetai MN, Stevens JM, Thomas DJ. Brain CT infarction in patients with carotid atheroma. Does it predict a future event? Int Angiol 2001;20:110-7.
120. Silvestrini M, Vernieri F, Pasqualetti P, Matteis M, Passarelli F, Troisi E. Impaired cerebral vasoreactivity and risk of stroke in patients with asymptomatic carotid artery stenosis. JAMA 2000;283:2122-7.
121. Lin PH, Zhou W, Kougias P, El-Sayed H, Lumsden AB. Assessing the learning curve of CAS. Endovasc Today 2006;5:68-74.
122. New G, Roubin GS, Iyer SS. Carotid artery stenting: rationale, indications and results. Compr Ther 1999;25:438-45.
123. Jordan WD, Voellinge RDC, Doblar DD. Microemboli detected by transcranial Doppler monitoring in patients during carotid angioplasty versus carotid endarterectomy. Cardiovasc Surg 1997;7:33-9.
124. Theron J, Courtheoux P, Alachkar. New triple coaxial catheter system for carotid angioplasty with cerebral protection. AJNR Am J Neuroradiol 1990;11:869-74.
125. Theron J. Angioplastie carotidienne protegee et stents carotidiens. J Med Vasc 1996;21:113-22.
126. Theron J, Guimaraens L, Leproux F. Protected angioplasty and stenting of atherosclerotic stenoses at the carotid bifurcation. Endovascular Therapy Course. Ninth International Course Book of Peripheral Vascular Intervention 1998;601-6.
127. Theron J. Protected stenting of atherosclerotic stenoses at the carotid bifurcation. Radiology 1998;209:473.
128. Henry M, Polydorou A, Henry I. Carotid angioplasty under protection with the Percusurge Guardwire device. In: Henry M, Ohki T editors. Angioplasty and stenting of the carotid and supra-aortic trunks. London: Taylor and Francis; 2004. p. 485-96.
129. Polydorou A, Henry I, Polydorou AD. Different protection devices. In: Henry M, Ohki T editors. Angioplasty and stenting of the carotid and supra-aortic trunks. London: Taylor and Francis; 2004. p. 345-64.
130. Ohki T, Veith FJ. Embolization during carotid stenting: experimental models and results. Carotid Interv 200;3:66-74.
131. Franke J, Bauer C. Ghamzemzadeh-A5L5. Distal occlusion with flushing and aspiration: the Kensey Nash Device. Presented at the ICCA 06, 2006, November 23-25, Frankfurt, Germany.
132. Castriota F, Manetti R, Liso A. Cerebral protection: can only the poststenting dilatation phase be protected? In: Henry M, Ohki T, Polydorou A, Strigaris K, Kiskinis K editors. Angioplasty and stenting of the carotid and supra-aortic trunks. London, New-York: Martin Dunitz; 2004. p. 381-90.
133. Eskandari MK. Design and development of mechanical embolic protection devices. Expert Rev Med Devices 2006;3:387-93.
134. Cremonesi A. The Spider Embolic protection device performance evaluation in the carotid artery during percutaneous transluminal angioplasty and/or stenting. J Invasive Cardiol 2005;17:463-7.
135. Coggia M, Goeau-Brissonnière O, Duval JL. Embolic risk of the different stages of carotid bifurcation balloon angioplasty: an experimental study. J Vasc Surg 2000;31:550-7.
136. Angelini A, Reimers B, Dellabarbara M. Embolized debris during carotid artery stenting with cerebral protection device: a histopathologic survey. AHA Meeting, 2001, November 13, Anaheim, CA.
137. Jaeger H, Mathias K, Drescher R. Clinical results of cerebral protection with a filter device during stent implantation of the carotid artery. Cardiovasc Interv Radiol 2001;24:249-56.
138. Barth A, Remonda L, Lovblad KO. Silent cerebral ischemia detected by diffusion-weighted MRI after carotid endarterectomy. Stroke 2000;31:1824-8.
139. Tomczak R, Wunderlich A, Liewald F. Diffusion weighted MRI: detection of cerebral ischemia before and after carotid thromboendarterectomy. J Comput Assist Tomogr 2001;25:247-50.
140. Vermeer SE, Prins ND, Den Heijer T. Silent brain infarcts and the risk of dementia and cognitive decline. N Engl J Med 2203;348-1215-22.
141. Heyer EJ, Adamas DC, Somon RA. Neuropsychometric changes in patients after carotid endarterectomy. Stroke 1998;29:1110-5.
142. Heyer EJ, Sharma R, Rampersad A. A controlled prospective study of neuropsychological dysfunction following carotid endarterectomy. Arch Neurol 2002;59:217-22.
143. Vanninen E, Vanninen R, Aikia M. Frequency of carotid endarterectomy related subclinical cerebral complications. Cerebrovasc Dis 1996;6:272-80.
144. Mac Donald S, Cleveland TJ, Evans D, Griffiths PD, Gaines PA. A comparison of the high-intensity signal rate using transcranial Doppler during unprotected and protected carotid stenting (Neuroshield) with a randomised controlled trial. Presented at the Annual Meeting of the Cardiovascular and Interventional Radiology Society of Europe, 2003, September 20, Antalya, Turkey.
145. Henry M, Polydorou A, Henry I. New distal embolic protection device. The FiberNet 3- dimensional filter. First carotid human study. Cath Cardiovasc Interv. In press.
146. Parodi JC, Schonholz C, Ferreira MC. Seat belt and airbag technique for cerebral protection during carotid stenting. J Endovasc Ther 2002;9:20-4.
147. North American Symptomatic Carotid Endarterectomy Trial Collaborators: benefits of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. N Engl J Med 1998;339:1415-25.
148. European Carotid Surgery Trialists' Collaborative Group: Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European carotid study trial (ECST). Lancet 1998;351:1379-87.
149. Lusby RJ, Wylie EJ. Complications of carotid endarterectomy. Surg Clin North Am 1983;63:1293-301.
150. Gil Peralta A, Mayol A, Marcos JR. Percutaneous transluminal angioplasty of the symptomatic atherosclerotic carotid arteries. Results, complications and follow-up. Stroke 1996;27:2271-3.
151. Mathur A, Roubin GS, Iyer SS. Predictors of strokes complicating carotid artery stenting. Circulation 1998;97:1239-45.
152. Parodi JC, Schönholz C, Ferreira M. Parodi antiembolism system in carotid stenting: the first 100 patients. J Vasc Interv Radiol 2002;13:S27.
153. Manninen HI, Rasanen HT, Vanninen R. Stent placement versus percutaneous transluminal angioplasty of human carotid arteries in cadavers in situ: distal embolization and findings at intravascular US, MR imaging and histopathologic analysis. Radiology 1999;212:483-92.
154. Sievert H. Carotid angioplasty and stenting with PAEC. TCT Meeting, 2002 September 24-28. Washington. USA.
155. The SPACE; Collaborative group. 30 days results from the SACE trial of stent protected angioplasty versus carotid endarterectomy in asymptomatic patients: a randomised non inferiority trial. Lancet 2006;368:1239-47.
156. Hobson RW, Howard VJ, Roubin GS. Carotid artery stenting is associated with increased complications in octogenarians: 30 day stroke and death rates in the CREST lead-in pahse. J Vasc Surg 2004;40:1106-11.
157. Setacci C, De Donato G, Chisci E, Setacci F, Pieraccini M. Capelli A. Is carotid artery stenting in octogenarians really dangerous? J Endovasc Ther 2006;13:302-9.
158. Gray W. CAPTURE trial. ACC Meeting 2006. March 10-14, Atlanta, USA.
159. Burton KR, Lindsay TF. Assessment of short-term outcomes for protected carotid angioplasty with stents using recent evidences. J Vasc Surg 2005;42:1094-100.
160. Schonholz CJ, Uflacker R, Parodi JC. Is there evidence that cerebral protection is beneficial ? Clinical data. J Cardiovasc Surg 2006;47:137-41.
161. Wholey MH, Wholey MH, Tan WA. A comparison of balloon-mounted and self-expanding stenting in the carotid arteries: immediate and long-term results of more than 500 patients. J Endovasc Ther 2002;9:299-307.
162. Bergeron P, Roux M, Khanoyan P. Long-term results of carotid stenting are competitive with surgery. J Vasc Surg 2006;43:871-3.
163. Sugita JC, Bosiers M, Peeters P. Carotid Artery Stenting (CAS) in 2172 patients: 5 years results in high volume centers (Elocas Registry). Am J Carotid 2005;96 Suppl:17H.