Video : Right Internal Carotid Artery Stenting

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Endovascular / Carotid / Case in the box

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Video credit – Christian Vuolo – Synaps

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Left internal carotid stenosis demonstrating a large ulceration

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)

Shooting date : 2010-12-14
Last update : 2021-06-08