title: A potential pitfall in the use of the monorail system for carotid stenting. A technical case report.
abstract: The use of EPDs seems to be necessary for safe CAS. Though the monorail system may offer advantages for a single operator, we caution its use with certain aortic arch anatomies. In such anatomies, using an OTW system or at least a 300 cm filter wire or devices that support wire extension will remedy some complications, such as the loss of the guiding sheath. As in our case, the added advantage of a 300 cm filter wire enabled us to avoid a poor outcome or an emergency vascular surgery.
authors.affiliation: Neurointerventional Service, Department of Radiology, South Jackson Street, Louisville, USA - ssachio@med.kitasato-u.ac.jp.
authors.forename: E
authors.initials: E
authors.lastname: Pereira
authors.forename: L
authors.initials: L
authors.lastname: Birnbaum