Crossing an ultracritical carotid stenosis for carotid angioplasty.
Carotid angioplasty requires early placement of a cerebral protection device in an effort to minimize cerebral embolization during the conduct of the subsequent angioplasty and stenting procedure. In patients who exhibit a very critical internal carotid artery (ICA) stenosis (approximately 99%), initial passage of the lesion may not be possible with a standard 0.014-inch wire system. In this report, the authors describe an approach using a 0.012-inch hydrophilic system to overcome this technical obstacle.
Dahn
Michael
M
Department of Surgery, University of Connecticut, Farmington, Connecticut 06032, USA. dahn@uchc.edu
Cheema
Mohiuddin
M
Bozeman
Patricia
P
Divinagracia
Thomas
T
D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000295:instrumentation; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D016638:Critical Illness; D006801:Humans; D008297:Male; D011859:Radiography; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome