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Common Carotid Artery Endovascular Clamping Associated to Flow Inversion for Neuroprotection Improves the Carotid Stenting Outcomes

Published:March 22, 2022DOI:https://doi.org/10.1016/j.avsg.2022.03.005
      Carotid artery stenosis causes up to 30% of ischemic stroke and it is a potentially life-threatening pathology.
      • Halliday A.
      • Bulbulia R.
      • Bonati L.H.
      • et al.
      ACST-2 Collaborative Group
      Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy.
      For “higher risk” patients, carotid artery stenting (CAS) has demonstrated similar results in terms of 30-day stroke and death rates than carotid endarterectomy.
      • Halliday A.
      • Bulbulia R.
      • Bonati L.H.
      • et al.
      ACST-2 Collaborative Group
      Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy.
      However, despite its less invasive nature, CAS embolic events can reach 90%.
      • Halliday A.
      • Bulbulia R.
      • Bonati L.H.
      • et al.
      ACST-2 Collaborative Group
      Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy.
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      References

        • Halliday A.
        • Bulbulia R.
        • Bonati L.H.
        • et al.
        • ACST-2 Collaborative Group
        Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy.
        Lancet. 2021; 398: 1065-1073
        • Cano M.N.
        • Kambara A.M.
        • de Cano S.J.
        • et al.
        Randomized comparison of distal and proximal cerebral protection during carotid artery stenting.
        JACC Cardiovasc Interv. 2013; 6: 1203-1209
        • Gabrielli R.
        • Castrucci T.
        • Siani A.
        • et al.
        Common carotid artery endovascular clamping for neuroprotection during carotid stenting: flow-gate system as an innovative treatment approach.
        Catheter Cardiovasc Interv. 2021; 97: E71-E78
        • Leal I.
        • Orgaz Á.
        • Flores A.
        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
        • Stabile E.
        • Sannino A.
        • Schiattarella G.G.
        • et al.
        Cerebral embolic lesions detected with diffusion-weighted magnetic resonance imaging following carotid artery stenting: a meta-analysis of 8 studies comparing filter cerebral protection and proximal balloon occlusion.
        JACC Cardiovasc Interv. 2014; 7: 1177-1183