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A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application
Published on: July 9, 2020
Carotid artery stenting by direct percutaneous puncture
Leopoldo Guimaraens1, Jacques Theron, Alfredo Casasco
1Clínica Nuestra Señora del Rosario Terapeutica Endovascular y Percutanea, Madrid, Spain. guimaraens@mimsl.es
Journal of Vascular Surgery
|February 15, 2011
Summary
Direct carotid artery stenting offers a viable alternative when standard femoral access is not possible. This technique, utilizing cerebral protection, successfully treated two patients with challenging anatomy.
Area of Science:
- Vascular Surgery
- Interventional Neurology
- Medical Device Technology
Background:
- Carotid artery stenting (CAS) is a common procedure to prevent stroke.
- The standard approach for CAS is via the femoral artery.
- Alternative access methods are needed when femoral access is contraindicated or impossible.
Observation:
- Two cases are presented where standard femoral access for carotid artery stenting was not feasible.
- Direct percutaneous puncture of the carotid artery was employed as an alternative access route.
- Cerebral protection devices were utilized during the stenting procedures.
Findings:
- Successful carotid artery stenting was achieved in both presented cases.
- The direct percutaneous access approach was effective in patients with anatomical limitations.
- Cerebral protection devices ensured procedural safety by preventing embolic events.
Implications:
- Direct carotid access is a feasible and safe alternative for CAS in select patients.
- This approach expands treatment options for carotid artery disease, particularly in complex cases.
- Further research may validate this technique for a broader patient population requiring stroke prevention.
