Insight into the periprocedural embolic events of internal carotid artery angioplasty: A report of four cases and literature review

Interventional Neuroradiology

Volumn 17, Issue 4, 2011, Pages 452-458

  Jiang, L ^a   Ling, F ^a   Wang, B ^a   Miao, Zhongrong ^a  

^a CAPITAL MEDICAL UNIVERSITY   (China)

Author keywords

Angioplasty; Embolic events; ICA; Stenosis; Stenting

Indexed keywords

ACETYLSALICYLIC ACID; CLOPIDOGREL;

AGED; ANGIOPLASTY; ARTICLE; CAROTID ARTERY OBSTRUCTION; CAROTID ARTERY STENTING; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; CORONARY ARTERY OBSTRUCTION; DIGITAL SUBTRACTION ANGIOGRAPHY; HISTOPATHOLOGY; HUMAN; HUMAN TISSUE; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; THROMBOEMBOLISM; TRANSIENT ISCHEMIC ATTACK;

EID: 84862944519     PISSN: 15910199     EISSN: None     Source Type: Journal    
DOI: 10.1177/159101991101700409     Document Type: Article

References (38)

1. Forbes, T.L. Preliminary results of carotid revascularization endarterectomy vs stenting trial (CREST). J Vasc Surg. 2010; 51: 1300-1301.
2. Roh HG, Byun HS, Ryoo JW, et al. Prospective analysis of cerebral infarction after carotid endarterectomy and carotid artery stent placement by using diffusion-weighted imaging. Am J Neuroradiol. 2005; 26: 376-384. (Pubitemid 43073318)
3. Rapp JH, Wakil L, Sawhney R, et al. Subclinical emboli-zation after carotid artery stenting: new lesions on diffusion-weighted magnetic resonance imaging occur postprocedure. J Vasc Surg. 2007; 45: 867-872; discussion 872-874.
4. Maleux G, Demaerel P, Verbeken E, et al. Cerebral ischemia after filter-protected carotid artery stenting is common and cannot be predicted by the presence of substantial amount of debris captured by the filter device. Am J Neuroradiol. 2006; 27: 1830-1833. (Pubitemid 44556496)
5. du Mesnil de Rochemont R, Schneider S, Yan B, et al. Diffusion-weighted mr imaging lesions after filter-protected stenting of high-grade symptomatic carotid artery stenoses. Am J Neuroradiol. 2006; 27: 1321-1325. (Pubitemid 44897651)
6. Hammer FD, Lacroix V, Duprez T, et al. Cerebral micro-embolization after protected carotid artery stenting in surgical high-risk patients: results of a 2-year prospective study. J Vasc Surg. 2005; 42: 847-853. (Pubitemid 41571945)
7. Palombo G, Faraglia V, Stella N, et al. Late Evaluation of silent cerebral ischemia detected by diffusion-weighted mr imaging after filter-protected carotid artery stenting. Am J Neuroradiol. 2008; 29: 1340-1343.
8. Piñero P, González A, Mayol A, et al. Silent ischemia after neuroprotected percutaneous carotid stenting: a diffusion-weighted MRI study. Am J Neuroradiol. 2006; 27: 1338-1345. (Pubitemid 44897654)
9. Tedesco MM, Lee JT, Dalman RL, et al. Postprocedural microembolic events following carotid surgery and carotid angioplasty and stenting. J Vasc Surg. 2007; 46: 244-250. (Pubitemid 47422218)
10. Barbato JE, Dillavou E, Horowitz MB, et al. A randomized trial of carotid artery stenting with and without cerebral protection. J Vasc Surg. 2008; 47: 760-765.
11. Skjelland M, Krohg-Sørensen K, Tennøe B, et al. Cerebral microemboli and brain injury during carotid artery endarterectomy and stenting. Stroke. 2009; 40: 230-234. Epub 2008 Oct 16.
12. Vos JA, van den Berg JC, Ernst SM, et al. Carotid angioplasty and stent placement: comparison of transcranial Doppler US-data and clinical outcome with and without filtering cerebral protection in 509 patients. Radiology. 2005; 234: 493-499. (Pubitemid 40139921)
13. Markus HS, Clifton A, Buckenham T, et al. Carotid angioplasty. Detection of embolic signals during and after the procedure. Stroke. 1994; 25: 2403-2406. (Pubitemid 24359309)
14. Fairman R, Gray WA, Scicli AP, et al. The CAPTURE registry. Analysis of strokes resulting from carotid artery stenting in the post approval setting: Location, severity of type. Ann Surg. 2007; 246: 551-558.
15. Orlandi G, Fanucchi S, Fioretti C, et al. Characteristics of cerebral microembolism during carotid stenting and angioplasty alone. Arch Neurol. 2001; 58: 1410-1413. (Pubitemid 32845992)
16. Mackinnon AD, Aaslid R, Markus HS. Ambulatory transcranial Doppler cerebral embolic signal detection in symptomatic and asymptomatic carotid stenosis. Stroke. 2005; 36: 1726-1730. (Pubitemid 41098770)
17. Faggioli GL, Ferri M, Serra C, et al. The residual risk of cerebral embolism after carotid stenting: the complex interplay between stent coverage and aortic arch atherosclerosis. Eur J Vasc Endovasc Surg. 2009; 37: 519-524. Epub 2009 Feb 20.
18. Censori B, Camerlingo M, Casto L, et al. Carotid stents are not a source of microemboli late after deployment. Acta Neurol Scand. 2000; 102: 27-30. (Pubitemid 30413146)
19. Piñero P, González A, Martínez E, et al. Volume and composition of emboli in neuroprotected stenting of the carotid artery. Am J Neuroradiol. 2009; 30: 473-478. Epub 2008 Nov 27.
20. Aikawa H, Kodama T, Nii K, et al. Intraprocedural plaque protrusion resulting in cerebral embolism during carotid angioplasty with stenting. Radiat Med. 2008; 26: 318-323. Epub 2008 Jul 27.
21. Rosenkranz M, Wittkugel O, Waiblinger C, et al. Cere-bral embolism during carotid artery stenting: role of carotid plaque echolucency. Cerebrovasc Dis. 2009; 27: 443-449. Epub 2009 Mar 19.
22. Biasi GM, Froio A, Diethrich EB, et al. Carotid plaque echolucency increases the risk of stroke in carotid stenting: the Imaging in Carotid Angioplasty and Risk of Stroke (ICAROS) study. Circulation. 2004; 110: 756-762. Epub 2004 Jul 26.
23. Tedesco MM, Lee JT, Dalman RL, et al. Postprocedural microembolic events following carotid surgery and carotid angioplasty and stenting. J Vasc Surg. 2007; 46: 244-250. Epub 2007 Jun 27.
24. Qureshi AI, Luft AR, Sharma M, et al. Prevention and treatment of thromboembolic and ischemic complications associated with endovascular procedures: part II: clinical aspects and recommendations. Neurosurgery. 2000; 46: 1360-1375.
25. Droste DW, Dittrich R, Kemeny V, et al. Prevalence and frequency of microembolic signals in 105 patients with extracranial carotid artery occlusive disease. J Neurol Neurosurg Psychiatr. 1999; 67: 525-528. (Pubitemid 29438211)
26. Stork JL, Kimura K, Levi CR, et al. Source of microembolic signals in patients with high-grade carotid stenosis. Stroke. 2002; 33: 2014-2018. (Pubitemid 34840060)
27. Zuromskis T, Wetterholm R, Lindqvist JF, et al. Prevalence of micro-emboli in symptomatic high grade carotid artery disease: a transcranial Doppler study. Eur J Vasc Endovasc Surg. 2008; 35: 534-540. (Pubitemid 351469946)
28. Faggioli GL, Ferri M, Freyrie A, et al. Aortic arch anomalies are associated with increased risk of neurological events in carotid stent procedures. Eur J Vasc Endovasc Surg. 2007; 33: 436-441. (Pubitemid 46336601)
29. Faggioli G, Ferri M, Rapezzi C, et al. Atherosclerotic aortic lesions increase the risk of cerebral embolism during carotid stenting inpatients with complex aortic arch anatomy. J Vasc Surg. 2008; 49: 80-85.
30. Kim SJ, Roh HG, Jeon P, et al. Cerebral ischemia detected with diffusion-weighted MR imaging after protected carotid artery stenting: comparison of distal balloon and filter device. Korean J Radiol. 2007; 8: 276-285.
31. Hellings WE, Ackerstaff RG, Pasterkamp G, et al. The carotid atherosclerotic plaque and microemboli-sation during carotid stenting. J Cardiovasc Surg. 2006; 47: 115-126.
32. Vitek JJ, Raymon BC, Oh SJ. Innominate artery angioplasty. Am J Neuroradiol. 1984; 5: 113-114.
33. Theron J, Raymond J, Casasco A, et al. Percutaneous angioplasty of atherosclerotic and postsurgical stenosis of carotid arteries. Am J Neuroradiol. 1987; 8: 495-500. (Pubitemid 17075739)
34. Macdonald S. The evidence for cerebral protection: an analysis and summary of the literature. Eur J Radiol. 2006; 60: 20-25. Epub Sep 12. Review.
35. Theiss T, Hermanek P, Mathias K, et al. A prospective registry of carotid angioplasty and stenting. Stroke. 2004; 35: 2134-2139. (Pubitemid 39129574)
36. Gray WA, Hopkins LN, Yadav S, et al. Protected carotid stenting in high-surgical-risk patients: the ARCHeR results. J Vasc Surg. 2006; 44: 258-268. (Pubitemid 44142925)
37. Goodney PP, Schermehorn ML, Powell RJ. Current status of carotid artery stenting. J Vasc Surg. 2006; 43: 406-411. (Pubitemid 43221944)
38. El-Koussy M, Schroth G, Do DD, et al. Periprocedural embolic events related to carotid artery stenting detected by diffusion-weighted MRI: comparison between proximal and distal embolus protection devices. J Endovasc Ther. 2007; 14: 293-303. (Pubitemid 47057911)