Carotid artery stenting: Patient, lesion, and procedural characteristics that increase procedural complications

Catheterization and Cardiovascular Interventions

Volumn 82, Issue 5, 2013, Pages 715-726

  White, Christopher J ^a   Ramee, Stephen R ^a   Collins, Tyrone J ^a   Jenkins, J Stephen ^a   Reilly, John P ^a   Patel, Rajan A G ^a  

^a UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

cerebrovascular disease; complications adult cath intervention; peripheral vascular disease

Indexed keywords

ACETYLSALICYLIC ACID; THIENOPYRIDINE DERIVATIVE;

AGE; AORTA ARCH ANOMALY; ARTICLE; ASYMPTOMATIC DISEASE; ATHEROMATOSIS; BLEEDING; CAROTID ARTERY OBSTRUCTION; CAROTID ARTERY STENT; CAROTID ARTERY STENTING; CAROTID ENDARTERECTOMY; CLINICAL COMPETENCE; CLINICAL TRIAL (TOPIC); COMORBIDITY; CORONARY ARTERY CALCIFICATION; CORONARY FLOW RESERVE; DRUG CONTRAINDICATION; EMBOLIC PROTECTION DEVICE; EQUIPMENT DESIGN; HIGH RISK POPULATION; HUMAN; PATIENT SELECTION; PERIPHERAL OCCLUSIVE ARTERY DISEASE; POSTOPERATIVE COMPLICATION; RANDOMIZED CONTROLLED TRIAL (TOPIC); RISK ASSESSMENT; RISK FACTOR; VASCULAR ACCESS;

CEREBROVASCULAR DISEASE; COMPLICATIONS ADULT CATH/INTERVENTION; PERIPHERAL VASCULAR DISEASE;

AGED; AGED, 80 AND OVER; ANGIOPLASTY; CAROTID STENOSIS; CLINICAL COMPETENCE; COMORBIDITY; HUMANS; PATIENT SELECTION; PLAQUE, ATHEROSCLEROTIC; RISK ASSESSMENT; RISK FACTORS; SEVERITY OF ILLNESS INDEX; STENTS; TREATMENT OUTCOME;

EID: 84886946577     PISSN: 15221946     EISSN: 1522726X     Source Type: Journal    
DOI: 10.1002/ccd.24984     Document Type: Article

References (85)

1. Kerber C, Cromwell LLoehden O,. Catheter dilatation of proximal carotid stenosis during distal bifurcation endarterectomy. AJNR Am J Neuroradiol 1980; 1: 348-349.
2. Roubin GS, Yadav S, Iyer SS, Vitek, J,. Carotid stent-supported angioplasty: A neurovascular intervention to prevent stroke. Am J Cardiol 1996; 78: 8-12.
3. Theron JG, Payelle GG, Coskun O, Huet HF, Guimaraens L,. Carotid artery stenosis: Treatment with protected balloon angioplasty and stent placement. Radiology 1996; 201: 627-636.
4. Yadav JS, Wholey MH, Kuntz RE, Fayad P, Katzen BT, Mishkel GJ, Bajwa TK, Whitlow P, Strickman NE, Jaff MR, Popma JJ, Snead DB, Cutlip DE, Firth BG, Ouriel K,. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med 2004; 351: 1493-1501.
5. Gurm HS, Yadav JS, Fayad P, Katzen BT, Mishkel GJ, Bajwa TK, Ansel G, Strickman NE, Wang H, Cohen SA, Massaro JM, Cutlip DE,. Long-term results of carotid stenting versus endarterectomy in high-risk patients. N Engl J Med 2008; 358: 1572-1579.
6. United States Food and Drug Adminstration Center for Devices and Radiological Health. Cordis PRECISE Nitinol Stent System-P030047. 2. Summary of Safety and Effectiveness. 2006. Available at: http://www.fda.gov/cdrh/pdf3/ p030047.html. Accessed April 11, 2013.
7. Hopkins LN, Myla S, Grube E, Wehman JC, Levy EI, Bersin RM, Joye JD, Allocco DJ, Kelley L, Baim DS,. Carotid artery revascularization in high surgical risk patients with the NexStent and the Filterwire EX/EZ: 1-year results in the CABERNET trial. Catheter Cardiovasc Interv 2008; 71: 950-960.
8. Higashida RT, Popma JJ, Apruzzese P, Zimetbaum, Pon behalf of the MAVErIC I and II Investigators. Evaluation of the medtronic exponent self-expanding carotid stent system with the medtronic guardwire temporary occlusion and aspiration system in the treatment of carotid stenosis: Combined From the MAVErIC (Medtronic AVE Self-expanding CaRotid Stent System with distal protection In the treatment of Carotid stenosis) I and MAVErIC II Trials. Stroke 2010; 41: e102-e109.
9. White CJ, Iyer SS, Hopkins LN, Katzen BT, Russell ME,. Carotid stenting with distal protection in high surgical risk patients: The BEACH trial 30 day results. Catheter Cardiovasc Interv 2006; 67: 503-512.
10. Gray WA, Yadav JS, Verta P, Scicli A, Fairman R, Wholey M, Hopkins LN, Atkinson R, Raabe R, Barnwell S, Green R,; Capture Trial Collaborators. The CAPTURE registry: Predictors of outcomes in carotid artery stenting with embolic protection for high surgical risk patients in the early post-approval setting. Catheter Cardiovasc Interv 2007; 70: 1025-1033.
11. Safian RD, Bresnahan JF, Jaff MR, Foster M, Bacharach JM, Maini B, Turco M, Myla S, Eles G, Ansel GM,. Protected carotid stenting in high-risk patients with severe carotid artery stenosis. J Am Coll Cardiol 2006; 47: 2384-2389.
12. Gray WA, Hopkins LN, Yadav S, Davis T, Wholey M, Atkinson R, Cremonesi A, Fairman R, Walker G, Verta P, Popma J, Virmani R, Cohen DJ,. Protected carotid stenting in high-surgical-risk patients: The ARCHeR results. J Vasc Surg 2006; 44: 258-268.
13. Massop D, Dave R, Metzger C, Bachinsky W, Solis M, Shah R, Schultz G, Schreiber T, Ashchi M, Hibbard R,. Stenting and angioplasty with protection in patients at high-risk for endarterectomy: SAPPHIRE Worldwide Registry first 2,001 patients. Catheter Cardiovasc Interv 2009; 73: 129-136.
14. Gray WA, Chaturvedi S, Verta P,. Thirty-day outcomes for carotid artery stenting in 6320 patients from 2 prospective, multicenter, high-surgical-risk registries. Circ Cardiovasc Interv 2009; 2: 159-166.
15. Myla S, Bacharach JM, Ansel GM, Dippel EJ, McCormick DJ, Popma JJ,. Carotid artery stenting in high surgical risk patients using the FiberNet embolic protection system: The EPIC trial results. Catheter Cardiovasc Interv 2010; 75: 817-822.
16. Ansel GM, Hopkins LN, Jaff MR, Rubino P, Bacharach JM, Scheinert D, Myla S, Das T, Cremonesi A,. Safety and effectiveness of the INVATEC MO.MA proximal cerebral protection device during carotid artery stenting: Results from the ARMOUR pivotal trial. Catheter Cardiovasc Interv 2010; 76: 1-8.
17. Brott TG, Hobson RW 2nd, Howard G, Roubin GS, Clark WM, Brooks W, Mackey A, Hill MD, Leimgruber PP, Sheffet AJ, Howard VJ, Moore WS, Voeks JH, Hopkins LN, Cutlip DE, Cohen DJ, Popma JJ, Ferguson RD, Cohen SN, Blackshear JL, Silver FL, Mohr JP, Lal BK, Meschia JF,. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med 2010; 363: 11-23.
18. Silver FL, Mackey A, Clark WM, Brooks W, Timaran CH, Chiu D, Goldstein LB, Meschia JF, Ferguson RD, Moore WS, Howard G, Brott TG,. Safety of stenting and endarterectomy by symptomatic status in the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST). Stroke 2011; 42: 675-680.
19. Furie KL, Kasner SE, Adams RJ, Albers GW, Bush RL, Fagan SC, Halperin JL, Johnston SC, Katzan I, Kernan WN, Mitchell PH, Ovbiagele B, Palesch YY, Sacco RL, Schwamm LH, Wassertheil-Smoller S, Turan TN, Wentworth D,. Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011; 42: 227-276.
20. Brott TG, Halperin JL, Abbara S, Bacharach JM, Barr JD, Bush RL, Cates CU, Creager MA, Fowler SB, Friday G, Hertzberg VS, McIff EB, Moore WS, Panagos PD, Riles TS, Rosenwasser RH, Taylor, AJ,. 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/ CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease: Executive Summary A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery Developed in Collaboration With the American Academy of Neurology and Society of Cardiovascular Computed Tomography. J Am Coll Cardiol 2011; 57: 1002-1044.
21. Gray WA, Rosenfield KA, Jaff MR, Chaturvedi S, Peng L, Verta P,. Influence of site and operator characteristics on carotid artery stent outcomes: Analysis of the CAPTURE 2 (Carotid ACCULINK/ACCUNET Post Approval Trial to Uncover Rare Events) clinical study. JACC Cardiovasc Interv 2011; 4: 235-246.
22. Roubin GS, Iyer S, Halkin A, Vitek J, Brennan C,. Realizing the potential of carotid artery stenting: Proposed paradigms for patient selection and procedural technique. Circulation 2006; 113: 2021-2030.
23. Macdonald S, Lee R, Williams R, Stansby, Gon behalf of the Delphi Carotid Stenting Consensus Panel. Towards safer carotid artery stenting: A scoring system for anatomic suitability. Stroke 2009; 40: 1698-1703.
24. Hofmann R, Niessner A, Kypta A, Steinwender C, Kammler J, Kerschner K, Grund M, Leisch F, Huber K,. Risk score for peri-interventional complications of carotid artery stenting. Stroke 2006; 37: 2557-2561.
25. Kazmers A, Perkins AJ, Huber T, SJacobs LA,. Carotid surgery in octogenarians in Veterans Affairs medical centers. J Surg Res 1999; 81: 87-90.
26. Wennberg D, Lucas F, Birkmeyer J, Bredenberg C, Fisher E,. Variation in carotid endarterectomy mortality in the Medicare population. JAMA 1998; 279: 1278-1281.
27. Roubin GS, New G, Iyer SS, Vitek JJ, Al-Mubarak N, Liu MW, Yadav J, Gomez C, Kuntz RE,. Immediate and late clinical outcomes of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis: A 5-year prospective analysis. Circulation 2001; 103: 532-537.
28. Hobson RW 2nd, Howard VJ, Roubin GS, Brott TG, Ferguson RD, Popma JJ, Graham DL, Howard G,. Carotid artery stenting is associated with increased complications in octogenarians: 30-day stroke and death rates in the CREST lead-in phase. J Vasc Surg 2004; 40: 1106-1111.
29. Kastrup A, Schulz JB, Raygrotzki S, Groschel K, Ernemann U,. Comparison of angioplasty and stenting with cerebral protection versus endarterectomy for treatment of internal carotid artery stenosis in elderly patients. J Vasc Surg 2004; 40: 945-951.
30. Iyer SS, White CJ, Hopkins LN, Katzen BT, Safian R, Wholey MH, Gray WA, Ciocca R, Bachinsky WB, Ansel G, Joye JD, Russell ME,. Carotid artery revascularization in high-surgical-risk patients using the Carotid WALLSTENT and FilterWire EX/EZ: 1-year outcomes in the BEACH Pivotal Group. J Am Coll Cardiol 2008; 51: 427-434.
31. Eckstein HH, Ringleb P, Allenberg JR, Berger J, Fraedrich G, Hacke W, Hennerici M, Stingele R, Fiehler J, Zeumer H, Jansen O,. Results of the stent-protected angioplasty versus carotid endarterectomy (SPACE) study to treat symptomatic stenoses at 2 years: A multinational, prospective, randomised trial. Lancet Neurol 2008; 7: 893-902.
32. Voeks JH, Howard G, Roubin GS, Malas MB, Cohen DJ, Sternbergh WC 3rd, Aronow HD, Eskandari MK, Sheffet AJ, Lal BK, Meschia JF, Brott TG,. Age and outcomes after carotid stenting and endarterectomy: The carotid revascularization endarterectomy versus stenting trial. Stroke 2011; 42: 3484-3490.
33. Groschel K, Ernemann U, Schnaudigel S, Wasser K, Nagele T, Kastrup A,. A risk score to predict ischemic lesions after protected carotid artery stenting. J Neurol Sci 2008; 273: 112-115.
34. Kim SJ, Roh HG, Jeon P, Kim KH, Lee KH, Byun HS, Moon WJ, Kim GM, Kim YW, Kim DI,. 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.
35. Touze E, Trinquart L, Chatellier G, Mas JL,. Systematic review of the perioperative risks of stroke or death after carotid angioplasty and stenting. Stroke 2009; 40: e683-e693.
36. Lam RC, Lin SC, DeRubertis B, Hynecek R, Kent KC, Faries PL,. The impact of increasing age on anatomic factors affecting carotid angioplasty and stenting. J Vasc Surg 2007; 45: 875-880.
37. Setacci C, de Donato G, Chisci E, Setacci F, Pieraccini M, Cappelli A, Palasciano G, Castriota F, Cremonesi A,. Is carotid artery stenting in octogenarians really dangerous? J Endovasc Ther 2006; 13: 302-309.
38. Bazan HA, Pradhan S, Mojibian H, Kyriakides T, Dardik A,. Increased aortic arch calcification in patients older than 75 years: Implications for carotid artery stenting in elderly patients. J Vasc Surg 2007; 46: 841-845.
39. Bates ER, Babb JD, Casey DE Jr, Cates CU, Duckwiler GR, Feldman TE, Gray WA, Ouriel K, Peterson ED, Rosenfield K, Rundback JH, Safian RD, Sloan MA, White CJ,. ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical expert consensus document on carotid stenting. Vasc Med 2007; 12: 35-83.
40. Zahn R, Ischinger T, Hochadel M, Zeymer U, Schmalz W, Treese N, Hauptmann KE, Seggewiss H, Janicke I, Haase H, Mudra H, Senges J,. Carotid artery stenting in octogenarians: Results from the ALKK Carotid Artery Stent (CAS) Registry. Eur Heart J 2007; 28: 370-375.
41. Velez CA, White CJ, Reilly JP, Jenkins JS, Collins TJ, Grise MA, McMullan PW, Ramee SR,. Carotid artery stent placement is safe in the very elderly (> or =80 years). Catheter Cardiovasc Interv 2008; 72: 303-308.
42. Setacci C, Chisci E, Setacci F, Iacoponi F, de Donato G, Rossi A,. Siena carotid artery stenting score: A risk modelling study for individual patients. Stroke 2010; 41: 1259-1265.
43. Grant A, White C, Ansel G, Bacharach M, Metzger C, Velez C,. Safety and efficacy of carotid stenting in the very elderly. Catheter Cardiovasc Interv 2010; 75: 651-655.
44. Alvarez B, Matas M, Ribo M, Maeso J, Yugueros X, Alvarez-Sabin J,. Transcervical carotid stenting with flow reversal is a safe technique for high-risk patients older than 70 years. J Vasc Surg 2012; 55: 978-984.
45. White CJ,. Carotid artery stent placement. JACC Cardiovasc Interv 2010; 3: 467-474.
46. Biller J, Feinberg WM, Castaldo JE, Whittemore AD, Harbaugh RE, Dempsey RJ, Caplan LR, Kresowik TF, Matchar DB, Toole J, Easton JD, Adams HP Jr, Brass LM, Hobson RW 2nd, Brott TG, Sternau L,. Guidelines for carotid endarterectomy: A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke 1998; 29: 554-562.
47. Pinter L, Ribo M, Loh C, Lane B, Roberts T, Chou TM, Kolvenbach RR,. Safety and feasibility of a novel transcervical access neuroprotection system for carotid artery stenting in the PROOF Study. J Vasc Surg 2011; 54: 1317-1323.
48. Micari A, Stabile E, Cremonesi A, Vadala G, Castriota F, Pernice V, Sorropago G, Rubino P, Biamino G,. Carotid artery stenting in octogenarians using a proximal endovascular occlusion cerebral protection device: A multicenter registry. Catheter Cardiovasc Interv 2010; 76: 9-15.
49. Kastrup A, Groschel K, Schulz JB, Nagele T, Ernemann U,. Clinical predictors of transient ischemic attack, stroke, or death within 30 days of carotid angioplasty and stenting. Stroke 2005; 36: 787-791.
50. Groschel K, Knauth M, Ernemann U, Pilgram SM, Schnaudigel S, Kastrup A,. Early treatment after a symptomatic event is not associated with an increased risk of stroke in patients undergoing carotid stenting. Eur J Neurol 2008; 15: 2-5.
51. Sacco RL, Adams R, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, Gorelick P, Halperin J, Harbaugh R, Johnston SC, Katzan I, Kelly-Hayes M, Kenton EJ, Marks M, Schwamm LH, Tomsick T,. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack: A statement for healthcare professionals from the American Heart Association/American Stroke Association Council on Stroke: co-sponsored by the Council on Cardiovascular Radiology and Intervention: the American Academy of Neurology affirms the value of this guideline. Stroke 2006; 37: 577-617.
52. Faggioli GL, Ferri M, Freyrie A, Gargiulo M, Fratesi F, Rossi C, Manzoli L, Stella A,. Aortic arch anomalies are associated with increased risk of neurological events in carotid stent procedures. Eur J Vasc Endovasc Surg 2007; 33: 436-441.
53. Bendszus M, Koltzenburg M, Burger R, Warmuth-Metz M, Hofmann E, Solymosi L,. Silent embolism in diagnostic cerebral angiography and neurointerventional procedures: A prospective study. Lancet 1999; 354: 1594-1597.
54. Faggioli G, Ferri M, Rapezzi C, Tonon C, Manzoli L, Stella A,. Atherosclerotic aortic lesions increase the risk of cerebral embolism during carotid stenting in patients with complex aortic arch anatomy. J Vasc Surg 2009; 49: 80-85.
55. Faggioli G, Ferri M, Gargiulo M, Freyrie A, Fratesi F, Manzoli L, Stella A,. Measurement and impact of proximal and distal tortuosity in carotid stenting procedures. J Vasc Surg 2007; 46: 1119-1124.
56. Mathur A, Roubin GS, Iyer SS, Piamsonboon C, Liu MW, Gomez CR, Yadav JS, Chastain HD, Fox LM, Dean LS, Vitek, JJ,. Predictors of stroke complicating carotid artery stenting. Circulation 1998; 97: 1239-1245.
57. Stabile E, Salemme L, Sorropago G, Tesorio T, Nammas W, Miranda M, Popusoi G, Cioppa A, Ambrosini V, Cota L, Petroni G, Della Pietra G, Ausania A, Fontanelli A, Biamino G, Rubino P,. Proximal endovascular occlusion for carotid artery stenting: Results from a prospective registry of 1,300 patients. J Am Coll Cardiol 2010; 55: 1661-1667.
58. Hammer FD, Lacroix V, Duprez T, Grandin C, Verhelst R, Peeters A, Cosnard G,. Cerebral microembolization after protected carotid artery stenting in surgical high-risk patients: Results of a 2-year prospective study. J Vasc Surg 2005; 42: 847-853; discussion 853.
59. Hill MD, Brooks W, Mackey A, Clark WM, Meschia JF, Morrish WF, Mohr JP, Rhodes JD, Popma JJ, Lal BK, Longbottom ME, Voeks JH, Howard G, Brott TG,. Stroke After Carotid Stenting and Endarterectomy in the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST). Circulation 2012; 126: 3054-3061.
60. Sayeed S, Stanziale SF, Wholey MH, Makaroun MS,. Angiographic lesion characteristics can predict adverse outcomes after carotid artery stenting. J Vasc Surg 2008; 47: 81-87.
61. Krapf H, Nagele T, Kastrup A, Buhring U, Gronewaller E, Skalej M, Kuker W,. Risk factors for periprocedural complications in carotid artery stenting without filter protection: A serial diffusion-weighted MRI study. J Neurol 2006; 253: 364-371.
62. Groschel K, Schnaudigel S, Ernemann U, Wasser K, Kastrup A,. Size matters! Stent-length is associated with thrombembolic complications after carotid artery stenting. Stroke 2008; 39: e131-e132; author reply e133.
63. Hopkins LN, Roubin GS, Chakhtoura EY, Gray WA, Ferguson RD, Katzen BT, Rosenfield K, Goldstein J, Cutlip DE, Morrish W, Lal BK, Sheffet AJ, Tom M, Hughes S, Voeks J, Kathir K, Meschia JF, Hobson RW II, Brott TG,. The carotid revascularization endarterectomy versus stenting trial: Credentialing of interventionalists and final results of lead-in phase. J Stroke Cerebrovasc Dis 2010; 19: 153-162.
64. Tegos TJ, Sabetai MM, Nicolaides AN, Robless P, Kalodiki E, Elatrozy TS, Ramaswami G, Dhanjil S,. Correlates of embolic events detected by means of transcranial Doppler in patients with carotid atheroma. J Vasc Surg 2001; 33: 131-138.
65. Biasi GM, Froio A, Diethrich EB, Deleo G, Galimberti S, Mingazzini P, Nicolaides AN, Griffin M, Raithel D, Reid DB, Valsecchi MG,. 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.
66. Tanemura H, Maeda M, Ichikawa N, Miura Y, Umeda Y, Hatazaki S, Toma N, Asakura F, Suzuki H, Sakaida H, Matsushima S, Taki W,. High-risk plaque for carotid artery stenting evaluated with 3-dimensional t1-weighted gradient echo sequence. Stroke 2013; 44: 105-110.
67. Nallamothu BK, Gurm HS, Ting HH, Goodney PP, Rogers MA, Curtis JP, Dimick JB, Bates ER, Krumholz HM, Birkmeyer JD,. Operator experience and carotid stenting outcomes in Medicare beneficiaries. JAMA 2011; 306: 1338-1343.
68. Cremonesi A, Zuffi A, Gieowarsingh S, Carvalho de Campos Martins E, Castriota F,. Endovascular carotid interventions. EuroIntervention 2010; 5: 866-870.
69. Cremonesi A, Manetti R, Setacci F, Setacci C, Castriota F,. Protected carotid stenting: Clinical advantages and complications of embolic protection devices in 442 consecutive patients. Stroke 2003; 34: 1936-1941.
70. Macdonald S, Evans DH, Griffiths PD, McKevitt FM, Venables GS, Cleveland TJ, Gaines, PA,. Filter-protected versus unprotected carotid artery stenting: A randomised trial. Cerebrovasc Dis 2010; 29: 282-289.
71. Barbato JE, Dillavou E, Horowitz MB, Jovin TG, Kanal E, David SMakaroun MS,. A randomized trial of carotid artery stenting with and without cerebral protection. J Vasc Surg 2008; 47: 760-765.
72. Kastrup A, Nagele T, Groschel K, Schmidt F, Vogler E, Schulz J, Ernemann U,. Incidence of new brain lesions after carotid stenting with and without cerebral protection. Stroke 2006; 37: 2312-2316.
73. Garg N, Karagiorgos N, Pisimisis GT, Sohal DP, Longo GM, Johanning JM, Lynch TG, Pipinos, II,. Cerebral protection devices reduce periprocedural strokes during carotid angioplasty and stenting: A systematic review of the current literature. J Endovasc Ther 2009; 16: 412-427.
74. Jansen O, Fiehler J, Hartmann M, Bruckmann H,. Protection or nonprotection in carotid stent angioplasty: The influence of interventional techniques on outcome data from the SPACE Trial. Stroke 2009; 40: 841-846.
75. Gensicke H, Zumbrunn T, Jongen LM, Nederkoorn PJ, Macdonald S, Gaines PA, Lyrer PA, Wetzel SG, van der Lugt A, Mali WP, Brown MM, van der Worp HB, Engelter ST, Bonati LH,. Characteristics of ischemic brain lesions after stenting or endarterectomy for symptomatic carotid artery stenosis: Results from the international carotid stenting study-magnetic resonance imaging substudy. Stroke 2013; 44: 80-86.
76. Roffi M, Sievert H, Gray WA, White CJ, Torsello G, Cao P, Reimers B, Mathias K, Setacci C, Schonholz C, Clair DG, Schillinger M, Grunwald I, Bosiers M, Abou-Chebl A, Moussa ID, Mudra H, Iyer SS, Scheinert D, Yadav JS, van Sambeek MR, Holmes DR, Cremonesi A,. Carotid artery stenting versus surgery: Adequate comparisons? Lancet Neurol 2010; 9: 339-341.
77. Bersin RM, Stabile E, Ansel GM, Clair DG, Cremonesi A, Hopkins LN, Nikas D, Reimers B, Sievert H, Rubino P,. A meta-analysis of proximal occlusion device outcomes in carotid artery stenting. Catheter Cardiovasc Interv 2012; 80: 1072-1078.
78. Montorsi P, Caputi L, Galli S, Ciceri E, Ballerini G, Agrifoglio M, Ravagnani P, Trabattoni D, Pontone G, Fabbiocchi F, Loaldi A, Parati E, Andreini D, Veglia F, Bartorelli AL,. Microembolization during carotid artery stenting in patients with high-risk, lipid-rich plaque a randomized trial of proximal versus distal cerebral protection. J Am Coll Cardiol 2011; 58: 1656-1663.
79. Bijuklic K, Wandler A, Hazizi F, Schofer J,. The PROFI study (Prevention of Cerebral Embolization by Proximal Balloon Occlusion Compared to Filter Protection During Carotid Artery Stenting): A prospective randomized trial. J Am Coll Cardiol 2012; 59: 1383-1389.
80. Timaran CH, Rosero EB, Higuera A, Ilarraza A, Modrall JG, Clagett GP,. Randomized clinical trial of open-cell vs closed-cell stents for carotid stenting and effects of stent design on cerebral embolization. J Vasc Surg 2011; 54: 1310-1316.e1; discussion 1316.
81. Bosiers M, de Donato G, Deloose K, Verbist J, Peeters P, Castriota F, Cremonesi A, Setacci C,. Does free cell area influence the outcome in carotid artery stenting? Eur J Vasc Endovasc Surg 2007; 33: 135-141; discussion 142-133.
82. Schillinger M, Gschwendtner M, Reimers B, Trenkler J, Stockx L, Mair J, Macdonald S, Karnel F, Huber K, Minar E,. Does carotid stent cell design matter? Stroke 2008; 39: 905-909.
83. Etxegoien N, Rhyne D, Kedev S, Sachar R, Mann T,. The transradial approach for carotid artery stenting. Catheter Cardiovasc Interv 2012; 80: 1081-1087.
84. Patel T, Shah S, Malhotra H, Radadia R, Shah L,. Transradial approach for stenting of vertebrobasilar stenosis: A feasibility study. Catheter Cardiovasc Interv 2009; 74: 925-931.
85. Fang HY, Chung SY, Sun CK, Youssef AA, Bhasin A, Tsai TH, Yang CH, Chen CJ, Hussein H, Wu, CJ, Yip HK,. Transradial and transbrachial arterial approach for simultaneous carotid angiographic examination and stenting using catheter looping and retrograde engagement technique. Ann Vasc Surg 2010; 24: 670-679.