Transcervical carotid artery stenting (CAS) with flow reversal: A promising technique for the reduction of strokes associated with CAS

Journal of Endovascular Therapy

Volumn 23, Issue 2, 2016, Pages 255-257

  Paraskevas, Kosmas I ^a   Veith, Frank J ^b,c   Parodi, Juan C ^d  

^a UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST   (United Kingdom)

^b NEW YORK UNIVERSITY MEDICAL CENTER   (United States)

^c LERNER RESEARCH INSTITUTE   (United States)

^d Trinidad Hospital of Buenos Aires   (Argentina)

Author keywords

Angioplasty; Carotid artery stenting; Cerebral protection; Embolic protection; Endarterectomy; Flow reversal; Protection filter; Stent; Stroke

Indexed keywords

ARTERIOTOMY; ARTERIOVENOUS SHUNT; ARTERY CLAMP; BALLOON OCCLUSION; BLOOD FILTER; CAROTID ARTERY FLOW; CAROTID ARTERY STENTING; CAROTID ENDARTERECTOMY; CAROTID TO FEMORAL ARTERIOVENOUS SHUNT; CATHETER ASPIRATION; CEREBROVASCULAR ACCIDENT; COMMON CAROTID ARTERY; DOPPLER ECHOGRAPHY; DYNAMIC FLOW REVERSAL; EMBOLIC PROTECTION FILTER; EXTERNAL CAROTID ARTERY; FEMORAL VEIN; GUIDING CATHETER; HUMAN; INCISION; INTERNAL CAROTID ARTERY; INTERNAL JUGULAR VEIN; MIDDLE CEREBRAL ARTERY OCCLUSION; NEUROPROTECTION; NOTE; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); TRANSCERVICAL CAROTID ARTERY STENTING; TREATMENT OUTCOME; ANGIOPLASTY; BRAIN EMBOLISM; CAROTID ARTERY OBSTRUCTION; STENT;

ANGIOPLASTY; CAROTID ARTERY, COMMON; CAROTID STENOSIS; HUMANS; INTRACRANIAL EMBOLISM; STENTS; STROKE; TREATMENT OUTCOME;

EID: 84962651342     PISSN: 15266028     EISSN: 15451550     Source Type: Journal    
DOI: 10.1177/1526602816633830     Document Type: Note

References (16)

1. Plessers M, van Herzeele I, Hemelsoet D, et al. Transcervical carotid stenting with dynamic flow reversal shows embolization rates comparable to carotid endarterectomy. J Endovasc Ther. 2016;23:249-254.
2. Paraskevas KI, Mikhailidis DP, Veith FJ. Mechanisms to explain the poor results of carotid artery stenting (CAS) in symptomatic patients to date and options to improve CAS outcomes. J Vasc Surg. 2010;52:1367-1375.
3. Kachel R. Results of balloon angioplasty in the carotid arteries. J Endovasc Surg. 1996;3:22-30.
4. Parodi JC, La Mura R, Ferreira LM, et al. Initial evaluation of carotid angioplasty and stenting with three different cerebral protection devices. J Vasc Surg. 2000;32:1127-1136.
5. Chang DW, Schubart PJ, Veith FJ, et al. A new approach to carotid angioplasty and stenting with transcervical occlusion and protective shunting: why it may be a better carotid artery intervention. J Vasc Surg. 2004;39:994-1002.
6. Criado E, Doblas M, Fontcuberta J, et al. Transcervical carotid stenting with internal carotid artery flow reversal: feasibility and preliminary results. J Vasc Surg. 2004;40:476-483.
7. Flores A, Doblas M, Criado E. Transcervical carotid artery stenting with flow reversal eliminates emboli during stenting: why does it work and what are the advantages with this approach. J Cardiovasc Surg (Torino). 2009;50:745-749.
8. Pinter L, Ribo M, Loh C, et al. 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.
9. Kwolek CJ, Jaff MR, Leal JI, et al. Results of the ROADSTER multicenter trial of transcarotid stenting with dynamic flow reversal. J Vasc Surg. 2015;62:1227-1234.
10. Leal I, Orgaz A, Flores A, et al. A diffusion-weighted magnetic resonance imaging-based study of transcervical carotid stenting with flow reversal versus transfemoral filter protection. J Vasc Surg. 2012;56:1585-1590.
11. Goode SD, Hoggard N, Macdonald S, et al. Assessment of reverse flow as a means of cerebral protection during carotid artery stent placement with diffusion-weighted and transcranial Doppler imaging. J Vasc Interv Radiol. 2013;24:528-533.
12. Ortega G, Alvarez B, Quintana M, et al. Asymptomatic carotid stenosis and cognitive improvement using transcervical stenting with protective flow reversal technique. Eur J Vasc Endovasc Surg. 2014;47:585-592.
13. Gupta N, Corriere MA, Dodson TF, et al. The incidence of microemboli to the brain is less with endarterectomy than with percutaneous revascularization with distal filters or flow reversal. J Vasc Surg. 2011;53:316-322.
14. Brewster LP, Beaulieu R, Corriere MA, et al. Carotid revascularization outcomes comparing distal filters, flow reversal and endarterectomy. J Vasc Surg. 2011;54:1000-1004.
15. Castro-Afonso LH, Abud LG, Rolo JG, et al. Flow reversal versus filter protection: a pilot carotid artery stenting randomized trial. Circ Cardiovasc Interv. 2013;6:552-559.
16. Stabile E, Esposito G. Operator's experience is the most efficient embolic protection device for carotid artery stenting. Circ Cardiovasc Interv. 2013;6:496-497.