A tortuous distal carotid artery: how to overcome the problem, with the aim of guaranteeing distal protection.
This report describes a case of stent implantation in a right internal carotid artery with severe distal tortuosity, which caused difficulty in advancing a filter protection device. Advancement of the introducing sheath at the level of the carotid bifurcation and exchange for a third-generation distal filter protection device overcame the problem.
San Raffaele Hospital and Centro Cuore Columbus, Milan, Italy.
Vassilis
V
Spanos
Goran
G
Stankovic
Antonio
A
Colombo
D000368:Aged; D000787:Angina Pectoris; D000792:Angiography; D019917:Blood Vessel Prosthesis Implantation; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D003324:Coronary Artery Disease; D003924:Diabetes Mellitus, Type 2; D006801:Humans; D006949:Hyperlipidemias; D006973:Hypertension; D020766:Intracranial Embolism / Q000517:prevention & control*; D008297:Male; D015607:Stents