How do I select cerebral protection devices today?
The establishment of cerebral protection has matured conceptually and clinically in recent years. We have accepted that some type of cerebral protection is desirable. We have some choices in whether to use filters, proximal occlusion, or proximal occlusion with reversed flow. There are anatomical and clinical factors that drive the choice of cerebral protection devices. Certain practical applications of cerebral protection technologies can be made based upon clinical experience. Making carotid artery stenting (CAS) safer is the key to a broader application of CAS as a treatment method and optimal selection of atherosclerosis new cerebral protection devices helps to achieve that goal.
Division of Vascular Therapy, Hawaii Permanante Medical Group, Honolulu, Hawaii, USA. Peter.schneider@kp. org
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D017130:Angioplasty / Q000009:adverse effects / Q000295:instrumentation*; D002340:Carotid Artery Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D002560:Cerebrovascular Circulation; D002561:Cerebrovascular Disorders / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D003097:Collateral Circulation; D057505:Embolic Protection Devices; D019317:Evidence-Based Medicine; D006801:Humans; D018579:Patient Selection; D011859:Radiography; D018570:Risk Assessment; D015607:Stents; D016896:Treatment Outcome