Right Internal Carotid Artery Stenting

Patient n°1

Mr D. - 82 years old

Asymptomatic carotid artery stenosis

Reasons for carotid revascularization:

• Fast progression of carotid artery stenosis (serial 2d echo)

Reasons for carotid stenting:

• high risk for carotid endarterectomy

Risk factors and medical history

• HTN
• Dyslipidemia
• severe symtomatic coronary artery disease, severe stenosis LAD bifurcation with diagonal branch, CTO of RCA, Provisional stenting of LAD bifurcation
• AAA 42mm
• Anti platelet therapy: ASPIRIN, CLOPIDOGREL

Cerebral CT scan:

• Presence of left and right hemisphere ischemic signs

Angiography:

• Right internal carotid stenosis 

Planned carotid artery stenting procedure

• Femoral approach, carotid distal protection with filter,  Open cells stent 

Material

EZ FilterWire (Boston Scientific)
Acculink Carotid Conical Stent (Abbott Vascular)