Progressive Right Internal Carotid Stenosis with Left Internal Carotid Artery Occlusion

Left Internal Carotid Artery Occlusion with Progressive Right Internal Carotid Artery Stenosis

This 18 minutes didactic recorded procedure concerns a 68 years male with coronary insufficiency and carotid lesions. He presents an occluded left internal carotid artery associated with a severe ulcerated worsening right internal carotid stenosis.
This complex stenosis was treated by new micromesh carotid stent under carotid protection by filter . Watch this informative procedure on how to treat patients with multiple carotid lesions.

Step-by-Step Procedure

• Femoral access for carotid angioplasty
• Common carotid access in tortuous aorta
• Analysis of carotid lesion by selective angiography
• Placement of filter as embolic protecting device
• Pre-dilatation and artery preparation before carotid artery stenting
• Placement of braided micromesh stent Roadsaver
• Post Stenting dilatation and analysis of results
• Filter retrieval and evaluation of carotid circulation  

• Mesh-covered (Roadsaver) stent as a new treatment modality for symptomatic or high-risk carotid stenosis - Article 
  Machnik R, Paluszek P, Tekieli Ł, Dzierwa K, Maciejewski D, Trystuła M, Brzychczy A, Banaszkiewicz K, Musiał R, Pieniążek P.
  Postepy Kardiol Interwencyjnej. 2017;13(2):130-134. doi: 10.5114/pwki.2017.68139. Epub 2017 May 30.