i I I D B c A supraaortic arteries and, particularly, to carotid bifurcations [4-17] . We previously reported an angioplasty technique involving temporary occlusion of the internal carotid artery to prevent cerebral embolization during manipulation of ulcerated plaques [18]. The present article describes a new triple coaxial catheter system (Schneider [Europe] AG, Zurich, Switzerland) (Fig. 1 )...

BACKGROUND Carotid endarterectomy is the most common surgical procedure used to treat stenosis of the extracranial precerebral carotid artery. Data from several randomized controlled trials are available to help guide its use in specific patient subgroups. Carotid angioplasty with stenting is also being performed, and clinical trials comparing this procedure with carotid endarterectomy are in p...

Carotid occlusive disease remains an important cause of ischemic stroke. The results of large, randomized, clinical trials have established the benefit of surgical revascularization in patients with symptomatic or asymptomatic carotid stenosis. The introduction of balloon angioplasty and stenting of the extracranial carotid artery as a potential alternative to surgery has been received with ent...

A technique for safe angioplasty of atherosclerotic stenosis of internal and common carotid arteries is described in which temporary balloon occlusion of the internal carotid artery is used to prevent cerebral embolization during manifestation of ulcerated plaques. Its successful use in six atherosclerotic stenosis is described. Five angioplasties of postsurgical stenoses are also reported in w...

Acute embolic occlusion of the intracranial internal carotid bifurcation is associated with a poor prognosis. Recanalization rates of this lesion with intravenous or intraarterial thrombolysis are exceedingly low. We describe the use of balloon angioplasty after failed thrombolysis to achieve immediate recanalization of acute carotid T occlusions in two patients. At 1-month follow-up, both pati...

Aim: To compare the beneficial role of carotid angioplasty in comparison to carotid endarterectomy. Methods: PubMed database was searched for articles comparing carotid angioplasty stenting and carotid endarterectomy, published during 2000-2013. Eight studies in which carotid endarterectomy and angioplasty were compared using randomized control trail were included in the study. The pooled odds ...

BACKGROUND The major complication of carotid angioplasty is embolic stroke, which may occur after balloon inflation and deflation or in the early postintervention period. Platelet adhesion and aggregation to the angioplasty site with subsequent embolization seems to plays a major role in early postangioplasty embolization and stroke. During this period, asymptomatic embolic signals can be detec...

Stenting and balloon angioplasty, along with mechanical thrombectomy, have gained notability as adjunctive treatment options to intravenous tissue plasminogen activator (IV-tPA) for tandem internal carotid artery (ICA) and middle cerebral artery (MCA) occlusions (TIM occlusions). Acute ischemic strokes (AISs) secondary to TIM occlusions are associated with poor patient outcomes primarily due to...

INTRODUCTION Fibromuscular dysplasia (FMD) is an infrequent non-inflamatory disease of unknown etiology that affects mainly medium-size arteries. The prevalence of FMD among patients scheduled for endovascular treatment of carotid artery stenosis is unknown. AIM To evaluate the prevalence and treatment options of carotid FMD in patients scheduled for carotid artery stenting (CAS). MATERIAL ...

obtained with angioplasty and stenting in the coronary, renal, and peripheral vascular systems, a natural evolutionary step was the application of these new technologies to the cerebrovascular tree. Preliminary clinical series have suggested that carotid angioplasty followed by stenting can be carried out with an acceptable degree of safety and with excellent angiographic results immediately an...