title: How to simplify the approach to the supra-aortic trunks.
abstract: Carotid artery stenting (CAS) represents a valid alternative to carotid endarterectomy (CEA). Possible embolization during the approach and the cannulation of the supra-aortic arterial trunks remains an important obstacle to CAS. This risk is increased in elderly patients and complex anatomies. In order to achieve satisfactory technical and clinical outcomes, a thorough understanding of the patients' individual anatomy of the arch and the access vessels is essential. The cannulation of the common carotid artery represents the key maneuver for the entire CAS procedure. This review article will present the currents techniques and devices actually use in order to facilitate the approach to the supra-aortic vessels.
authors.affiliation: Department of Vascular Surgery, Nuovo Ospedale Civile Sant'Agostino Estense, Baggiovara, Modena, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Moratto
authors.forename: J
authors.initials: J
authors.lastname: Veronesi
authors.forename: R
authors.initials: R
authors.lastname: Silingardi
authors.forename: E
authors.initials: E
authors.lastname: Nicolosi
authors.forename: S
authors.initials: S
authors.lastname: Gennai
authors.forename: G
authors.initials: G
authors.lastname: Coppi
mesh_terms: D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002339:Carotid Arteries / Q000601:surgery*; D016893:Carotid Stenosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000379:methods*; D006801:Humans; D015203:Reproducibility of Results