Abstract
Carotid Stenting of a Near Total Occlusion in a High Risk Patient Using Proximal and Distal Cerebral Embolic Protection
Highlights
Arrows) and both occlusion balloons were sequentially inflated to occlude antegrade flow in the ICA
The risk of stroke increases with the degree of stenosis, and in the presence of symptoms
Stroke risk decreases with near total occlusion (95-99% stenosis), yet remains significant [1]
Summary
Arrows) and both occlusion balloons were sequentially inflated to occlude antegrade flow in the ICA. Panel A Occlusion of the proximal left ICA. Panel B External carotid artery and Common carotid artery. A distal embolic protection device (Emboshield Nav 6, Abbott, Santa Clara, CA) was advanced beyond the stenosis and filter deployed (Panel B, yellow arrow).
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