title: An update on the role of proximal occlusion devices in carotid artery stenting.
abstract: Carotid artery stenting performed with distal embolic protection devices continues to show elevated rates of periprocedural stroke, in particular with high-risk groups. This article discusses the factors associated with protection devices that may contribute to this complication, performs a literature review to assess outcomes of carotid stenting with proximal occlusion devices, and assesses the role of proximal occlusion devices in the management of patients with carotid artery stenosis.
authors.affiliation: Department of Vascular Surgery, Cleveland Clinic, Cleveland, Ohio. Electronic address: kassavd@ccf.org.
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Kassavin
authors.affiliation: Department of Surgery, University of South Carolina, Columbia, SC.
authors.forename: Daniel G
authors.initials: DG
authors.lastname: Clair
mesh_terms: D017130:Angioplasty / Q000009:adverse effects / Q000295:instrumentation*; D016893:Carotid Stenosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D057505:Embolic Protection Devices; D019317:Evidence-Based Medicine; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology / Q000517:prevention & control*; D011474:Prosthesis Design; D012307:Risk Factors; D015607:Stents; D020521:Stroke / Q000209:etiology / Q000517:prevention & control*; D013997:Time Factors; D016896:Treatment Outcome