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- 86 Y.O male, Cycling everyday
- Angina class II.
- ∅ CV Risk factor
- Asymptomatic Left Internal Carotid Artery (80% DU)
- LBB and impaired LVEF= 45%
Learning points
- Perform Carotid artery stenting through radial acess.
- How to use sheathless system catheter in radial procedures.
- Avoid Femoral access related complications.
Procedure description
- Right radial artery puncture.
- Introduction of the Cordis sheathless system with a 7Fr guiding catheter.
- Introduction and deployment of the Distal cerebral protection device (Emboshield).
- Predilatation with a 5.0 balloon.
- Deployment of the Roadsaver stent 8x25mm with optimal coverage of the plaque within the micromesh part.
- Postdilatation with Aviator 7x20mm balloon.
- Cerebral angiogram.
Protocol
- Time of procedure: 30min.
- Exposure time: 11min.
- Radiation dose: 0.15Gy.
- Contrast volume: 100ml (Iomeron).
Shooting date : 2017-12-12
Last update : 2018-02-22
Last update : 2018-02-22
Carotid procedures: Improve your skills!
Improve your skills on carotid artery stenting procedures! You will be able to learn more about carotid artery access: femoral, brachial, radial. Learn about carotid artery protection dur...
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adnan C. angioplasty
saparmyrat S. Стент проходит через 6 франч гайд катетер ?
Ahmed B. the Roadsaver stents are compatible with 5Fr introducer (ID : 1.8mm ), here the operator is using a 7Fr guiding catheter ( ID:2mm) , may be it pass through a 6Fr guiding cathter(ID : 1.8mm) with some friction ;
Benjamin F. Good remark about 6F compatibility of Roadsaver stents! It is possible but to me there is 2 advantages of 7F : first, no friction of the stent in case of tortuosity and also less propensity of air embolism ! Second, in case of complication, 7F is more adapted !
balram B. good learning
Lee J. 1
Nazar N. Excellent ...
Muhammad T. Thanks
Mohammed R. nice
Jaechun H. carotid stent
Maher J. Good