Evaluation of Carotid Angioplasty and Stenting Using Double Protection Technique in Treatment of Severe Symptomatic Internal Carotid Artery Stenosis
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- Category: Vol. 85, March 2017
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Evaluation of Carotid Angioplasty and Stenting Using Double Protection Technique in Treatment of Severe Symptomatic Internal Carotid Artery Stenosis, SHERIF H. ALI, NABIL KHALIL, ESAM EL-KHATIB, TARIQ E. EL-SHAFEY and MOHAMMAD AL-SHATOURI
Abstract
Aim: The study was conducted to evaluate the use of double embolic protection technique (combined distal and proximal) in treatment of cervical carotid artery stenosis.
Material and Methods: The study included 22 patients with symptomatic ICA stenosis >!70% according to NASCET. The angioplasty and stenting procedure was done using double protection technique (Mo.Ma® proximal balloon protection combined with distal Spider FX® filter). Technical success and any intraoperative complications are recorded. The 30- day stroke risks were assisted.
Results: No recorded intraoperative ischemic events were recorded. Technical difficulties were found in one patient with poor limb circulation thus Mo.Ma® balloon protection cannot be used and a distal balloon protection was used instead. We reported a technical success of 100% with no intraoperative ischemic events. One patient developed 30 days minor ischemic stroke 1/22.
Conclusion: Carotid angioplasty and stenting using double protection technique provides more protection against distal embolism during angioplasty procedure in severely stenotic patients as well as it have a lower risk of inducing intraoperative ischemic events.