title: First-in-man implantation of a new hybrid carotid stent to prevent periprocedural neurological events during carotid artery stenting.
abstract: OBJECTIVE
  To report the initial clinical experience with a new hybrid stent to prevent neurological events during carotid artery stenting.
  
  
  METHODS
  A 77-year-old asymptomatic man presented with de novo high-grade stenosis (80%) of the right internal carotid artery (ICA) and occlusion of the contralateral ICA. He was referred for right ICA stenting with a 6/8-mm×40-mm Gore Carotid Stent under cerebral protection using the Gore Carotid Filter. The stent delivery system tracked well over the filter wire and deployment was precise. The result was satisfactory, with 10% residual stenosis. No neurological events occurred during 6 months of follow-up.
  
  
  CONCLUSIONS
  Initial clinical experience with this new carotid hybrid stent showed satisfactory results, including ease of use, precise deployment, conformability to the wall, and protection against embolization.
authors.affiliation: 1 Medical University of South Carolina, Heart & Vascular Center, Charleston, South Carolina, USA.
authors.forename: Claudio
authors.initials: C
authors.lastname: Schönholz
authors.forename: Ricardo
authors.initials: R
authors.lastname: Yamada
authors.forename: William
authors.initials: W
authors.lastname: Montgomery
authors.forename: Thomas
authors.initials: T
authors.lastname: Brothers
authors.forename: Marcelo
authors.initials: M
authors.lastname: Guimaraes
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D017130:Angioplasty / Q000009:adverse effects / Q000295:instrumentation*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D016893:Carotid Stenosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D057505:Embolic Protection Devices; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D009422:Nervous System Diseases / Q000209:etiology / Q000517:prevention & control*; D011474:Prosthesis Design; D012720:Severity of Illness Index; D015607:Stents; D020521:Stroke / Q000209:etiology / Q000517:prevention & control; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014654:Vascular Patency
keywords: carotid artery stenosis; carotid artery stenting; closed-cell stent; hybrid stent; internal carotid artery; open-cell stent