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12.05.2023 | Correspondence

New Cerebral Embolic Protection System for Endovascular Revascularization of Stenosis at the Origin of the Right Common Carotid Artery: the Counterflow Technique

verfasst von: Daishiro Abe, Yoshiki Hanaoka, Jun-ichi Koyama, Takuya Nakamura, Satoshi Kitamura, Toshihiro Ogiwara, Tetsuyoshi Horiuchi

Erschienen in: Clinical Neuroradiology | Ausgabe 3/2023

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Excerpt

Endovascular therapy for stenosis at the origin of the common carotid artery (CCA) poses a technical challenge [1]. Treatments that have been described for this condition include open retrograde stenting [2‐5] and percutaneous antegrade stenting [1, 6‐11]. Open retrograde stenting can stabilize the catheter system and facilitate accurate stent placement. Moreover, surgical clamping of the distal CCA can prevent procedure-related cerebral embolism. However, this method is more invasive and complex than the percutaneous approach [12] and carries risks of postoperative cervical hematoma, arterial dissection, infection, and cranial nerve injury [2, 13]. Percutaneous antegrade stenting for such stenosis is technically difficult because the guiding system lacks adequate catheter backup support [1, 14]. To date, methods of cerebral embolic protection have not been well investigated. …

Tsuji K, Fukawa N, Nakagawa N, Watanabe A, Murakami S, Nagatsuka K, Nakano N, Kataoka K, Kato A. Transfemoral stenting of stenoses at the common carotid artery origin using an anchoring technique with a balloon protection device. Neurosurgery. 2016;79:598–603. https://doi.org/10.1227/NEU.0000000000001312.CrossRefPubMed

Queral LA, Criado FJ. The treatment of focal aortic arch branch lesions with Palmaz stents. J Vasc Surg. 1996;23:368–75. https://doi.org/10.1016/S0741-5214(96)70282-3.CrossRefPubMed

Sfyroeras GS, Karathanos C, Antoniou GA, Saleptsis V, Giannoukas AD. A meta-analysis of combined endarterectomy and proximal balloon angioplasty for tandem disease of the arch vessels and carotid bifurcation. J Vasc Surg. 2011;54:534–40. https://doi.org/10.1016/j.jvs.2011.04.022.CrossRefPubMed

Tsutsumi M, Kazekawa K, Onizuka M, Kodama T, Nii K, Aikawa H, Iko M, Tomokiyo M, Matsubara S, Tanaka A. Cerebral protection during retrograde carotid artery stenting for proximal carotid artery stenosis: Technical note. Neurol Med Chir (Tokyo). 2007;47:285–7. https://doi.org/10.2176/nmc.47.285. discussion 287–288.CrossRefPubMed

Payne DA, Hayes PD, Bolia A, Fishwick G, Bell PR, Naylor AR. Cerebral protection during open retrograde angioplasty/stenting of common carotid and innominate artery stenoses. Br J Surg. 2006;93:187–90. https://doi.org/10.1002/bjs.5232.CrossRefPubMed

Paukovits TM, Haász J, Molnár A, Szeberin Z, Nemes B, Varga D, Hüttl K, Bérczi V, Léránt G. Transfemoral endovascular treatment of proximal common carotid artery lesions: A single-center experience on 153 lesions. J Vasc Surg. 2008;48:80–7. https://doi.org/10.1016/j.jvs.2008.03.008.CrossRefPubMed

Kadkhodayan Y, Moran CJ, Derdeyn CP, Cross DT 3rd. Outcomes of angioplasty and stenting at the common carotid origin. Surg Neurol. 2009;72:451–5. https://doi.org/10.1016/j.surneu.2009.05.017. discussion 455.CrossRefPubMed

Cam A, Muhammad KI, Shishehbor MH, Bajzer CT, Kapadia SR. Technique and outcome of ostial common carotid artery stenting: A single centre experience. EuroIntervention. 2012;7:1210–5. https://doi.org/10.4244/EIJV7I10A193.CrossRefPubMed

Chio FL Jr, Liu MW, Khan MA, Iyer SS, Roubin GS. Effectiveness of elective stenting of common carotid artery lesions in preventing stroke. Am J Cardiol. 2003;92:1135–7. https://doi.org/10.1016/j.amjcard.2003.07.014.CrossRefPubMed

10.

Sullivan TM, Gray BH, Bacharach JM, Perl J 2nd, Childs MB, Modzelewski L, Beven EG. Angioplasty and primary stenting of the subclavian, innominate, and common carotid arteries in 83 patients. J Vasc Surg. 1998;28:1059–65. https://doi.org/10.1016/s0741-5214(98)70032-1.CrossRefPubMed

11.

Dumont TM, Eller JL, Mokin M, Snyder KV, Hopkins LN, Levy EI, Siddiqui AH. Transfemoral endovascular treatment of atherosclerotic stenotic lesions of the left common carotid artery ostium: Case series and review of the literature. J Neurointerv Surg. 2013;5:539–42. https://doi.org/10.1136/neurintsurg-2012-010523.CrossRefPubMed

12.

Zhang X, Ma H, Li L, Zou J, Jiao Y, Zhang X, Yang H. A meta-analysis of transfemoral endovascular treatment of common carotid artery lesions. World Neurosurg. 2019;123:89–94. https://doi.org/10.1016/j.wneu.2018.10.072.CrossRefPubMed

13.

Linni K, Aspalter M, Ugurluoglu A, Hölzenbein T. Proximal common carotid artery lesions: Endovascular and open repair. Eur J Vasc Endovasc Surg. 2011;41:728–34. https://doi.org/10.1016/j.ejvs.2011.02.024.CrossRefPubMed

14.

Weiner GM, Feroze R, Panczykowski DM, Aghaebrahim A, Ares W, Agarwal N, Enis J, Zhu X, Ducruet AF. Endovascular treatment of tandem common carotid artery origin and distal intracranial occlusion in acute ischemic stroke. World Neurosurg. 2017;97:360–5. https://doi.org/10.1016/j.wneu.2016.10.039.CrossRefPubMed

15.

Casserly IP, Sachar R, Yadav JS. Manual of peripheral vascular intervention. Philadelphia: Lippincott, Williams & Wilkins; 2005.

16.

Yamazaki D, Hanaoka Y, Koyama JI, Ogiwara T, Horiuchi T. Transradial dual-balloon protection system for subclavian artery stenting: “Balloon Switching” technique and literature review. Eur J Radiol. 2021;143:109907. https://doi.org/10.1016/j.ejrad.2021.109907.CrossRefPubMed

17.

Yamazaki D, Hanaoka Y, Koyama JI, Horiuchi T. New distal balloon protection system for transradial carotid artery stenting after Percusurge Guardwire withdrawal: Jailbreak technique. World Neurosurg. 2022;168:58–62. https://doi.org/10.1016/j.wneu.2022.09.078.CrossRefPubMed

18.

Ahsan MJ, Ahmad S, Latif A, Lateef N, Ahsan MZ, Abusnina W, Nathan S, Altin SE, Kolte DS, Messenger JC, Tannenbaum M, Goldsweig AM. Transradial versus transfemoral approach for percutaneous coronary intervention in patients with ST-elevation myocardial infarction complicated by cardiogenic shock: A systematic review and meta-analysis. Eur Heart J Qual Care Clin Outcomes. 2022;8:640–50. https://doi.org/10.1093/ehjqcco/qcac018.CrossRefPubMedPubMedCentral

19.

Almallouhi E, Al Kasab S, Sattur MG, Lena J, Jabbour PM, Sweid A, Chalouhi N, Gooch MR, Starke RM, Peterson EC, Yavagal DR, Chen SH, Li Y, Gross BA, Tonetti DA, Zussman BM, Stone JG, Jadhav AP, Jankowitz BT, Young CC, Lim DH, Levitt MR, Osbun JW, Spiotta AM. Incorporation of transradial approach in neuroendovascular procedures: Defining benchmarks for rates of complications and conversion to femoral access. J Neurointerv Surg. 2020;12:1122–6. https://doi.org/10.1136/neurintsurg-2020-015893.CrossRefPubMed

20.

Hanaoka Y, Koyama JI, Ogiwara T, Miyaoka Y, Fujii Y, Nakamura T, Horiuchi T, Hongo K. Usefulness of a novel technique to make up for a deficiency in transradial neurointervention with a 6 Fr Simmonds guiding sheath: Original experience with the subclavian artery anchoring technique. World Neurosurg. 2019;131:e362–e70. https://doi.org/10.1016/j.wneu.2019.07.162.CrossRefPubMed

21.

Hanaoka Y, Koyama JI, Yamazaki D, Miyaoka Y, Fujii Y, Nakamura T, Ogiwara T, Ito K, Horiuchi T. Initial experience with in vivo “endovascular shaping” technique that utilizes the vascular configuration for small cerebral aneurysm coiling. Nagoya J Med Sci. 2020;82:355–62. https://doi.org/10.18999/nagjms.82.2.355.CrossRefPubMedPubMedCentral

22.

Hanaoka Y, Koyama JI, Yamazaki D, Miyaoka Y, Fujii Y, Nakamura T, Ogiwara T, Ito K, Horiuchi T. Transradial approach as the primary vascular access with a 6-Fr Simmons guiding sheath for anterior circulation interventions: A single-center case series of 130 consecutive patients. World Neurosurg. 2020;138:e597–e606. https://doi.org/10.1016/j.wneu.2020.03.003.CrossRefPubMed

23.

Hanaoka Y, Koyama JI, Ogiwara T, Fujii Y, Ito K, Horiuchi T. Feasibility and safety of radial-first approach with a radial-specific neurointerventional guiding sheath for intracranial aneurysm coiling in the anterior circulation. World Neurosurg. 2020;142:e297–e306. https://doi.org/10.1016/j.wneu.2020.06.205.CrossRefPubMed

24.

Hanaoka Y, Koyama JI, Fujii Y, Ogiwara T, Ito K, Horiuchi T. Bilateral transradial approach for coil embolization of basilar artery aneurysms associated with an unfavorable vertebral artery anatomy: Initial experience with role-sharing technique. Clin Neuroradiol. 2021;31:699–707. https://doi.org/10.1007/s00062-020-00971-6.CrossRefPubMed

25.

Hanaoka Y, Koyama JI, Yamazaki D, Fujii Y, Ogiwara T, Horiuchi T. Transradial quadraxial system for coil embolization of distal anterior cerebral artery aneurysms: A radial-first center case series and literature review. J Neuroradiol. 2022;49:169–72. https://doi.org/10.1016/j.neurad.2021.09.002.CrossRefPubMed

26.

Kitamura S, Hanaoka Y, Koyama JI, Yamazaki D, Horiuchi T. Real-time angiography in endovascular revascularization of intracranial atherosclerotic internal carotid artery stenosis under proximal balloon protection: “Retrograde suction-injection” technique and literature review. J Neuroradiol. 2023;50:217–22. https://doi.org/10.1016/j.neurad.2022.06.003.

27.

Sandoval Y, Bell MR, Gulati R. Transradial artery access complications. Circ Cardiovasc Interv. 2019;12:e7386. https://doi.org/10.1161/CIRCINTERVENTIONS.119.007386.CrossRefPubMed

28.

Kubota Y, Hanaoka Y, Koyama JI, Fujii Y, Ogiwara T, Ito K, Horiuchi T. T‑configuration stent placement for carotid bifurcation stenosis co-existing with ipsilateral intracranial stenosis: A case report and literature review. J Stroke Cerebrovasc Dis. 2021;30:105472. https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105472.CrossRefPubMed

Titel: New Cerebral Embolic Protection System for Endovascular Revascularization of Stenosis at the Origin of the Right Common Carotid Artery: the Counterflow Technique
verfasst von: Daishiro Abe
Yoshiki Hanaoka
Jun-ichi Koyama
Takuya Nakamura
Satoshi Kitamura
Toshihiro Ogiwara
Tetsuyoshi Horiuchi
Publikationsdatum: 12.05.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Neuroradiology / Ausgabe 3/2023
Print ISSN: 1869-1439
Elektronische ISSN: 1869-1447
DOI: https://doi.org/10.1007/s00062-023-01290-2

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New Cerebral Embolic Protection System for Endovascular Revascularization of Stenosis at the Origin of the Right Common Carotid Artery: the Counterflow Technique

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

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