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OCT for Symptomatic Right internal Carotid Artery stenting .Right Radial Access
From Louis Pasteur Clinic, Essey Les Nancy, France
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Silent myocardial infarction, with a large inferior sequelae
severe PAOD: infrarenal abdominal aorta occlusion, renal arteries stenosis, left subclavian artery occlusion
2011, september: recanalization and stenting of the left subclavian artery
Learning objectives:
How to approach carotid arteries in case of severe abdominal aorta or ilio-femoral arteries disease?
how to stage and how to schedule patients in case of multiple lesions?
What are solutions for embolic distal protection and how to choose between the different devices available?
Is there a place for IVUS and OCT in carotid artery stenting?
Procedural steps:
1. access:
Right radial access, 6F, 10 cm Radiofocus, Terumo
Canulation of the Right Common Carotid Artery with an angiographic catheter 5F, 100 cm, SIM 2 Super Torque, Cordis, advanced upon a 0,035" Radiofocus Terumo angled stiff guidewire M-type, 260 cm
Exchange guidewire to with a 0,035" - 260 cm, Glidewire Advantage, Terumo
Failure to advance the shuttle upon the Advantage Glidewire
Objectifs du cours
Les patients Multivasculaires (plusieurs sites athéromateux), encore appelés polyvasculaires, représente 15% des patients explorés et prése...