How to simplify the approach to the supra-aortic trunks

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 o...

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Bibliographic Details
Published inJournal of cardiovascular surgery Vol. 54; no. 1; p. 23
Main Authors Moratto, R, Veronesi, J, Silingardi, R, Nicolosi, E, Gennai, S, Coppi, G
Format Journal Article
LanguageEnglish
Published Italy 01.02.2013
Subjects
Blood Vessel Prosthesis Implantation - methods
Carotid Arteries - surgery
Carotid Stenosis - surgery
Endarterectomy, Carotid - methods
Humans
Reproducibility of Results
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Summary: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.
ISSN:1827-191X