Journal of Vascular Surgery
Volume 46, Issue 6 , Pages 1155-1159 , December 2007

Incidence and clinical significance of distal embolization during percutaneous interventions involving the superficial femoral artery

Presented at the Thirty-fifth Annual Society for Clinical Vascular Surgery Symposium, Orlando, Fla, Mar 21-24, 2007.

Received 15 May 2007 ,Accepted 30 July 2007.

References 

  1. Muradin GS, Bosch JL, Stijnen T, Hunink MG. Balloon dilation and stent implantation for treatment of femoropopliteal arterial disease: meta-analysis. Radiology. 2001;221:37–145
  2. Dalainas I, Nano G, Kashyap A, Anand KP, Kashyap S, Golledge J, et al. Balloon angioplasty or nitinol stents for peripheral-artery disease. NEJM. 2006;355:521–522
  3. McDermott JC, Crummy AB. Complications of angioplasty. Semin Interv Radiol. 1994;11:145–149
  4. Becker GJ, Katzen BT, Dake MD. Noncoronary angioplasty. Radiology. 1989;170:921–940
  5. Brown MM. Balloon angioplasty for cerebrovascular disease. Neuro Res. 1992;14(suppl):159–163
  6. Campbell WB. Angioplasty for intermittent claudication. Br Med J. 1986;293:1047–1048
  7. Markus HS, Clifton A, Buckenham T, Brown MM. Carotid angioplasty: detection of embolic signals during and after the procedure. Stroke. 1994;25:2403–2406
  8. Thompson MM, Smith J, Naylor AR, Nasim A, Sayers RD, Boyle JR, et al. Microembolization during cerebrovascular and conventional aneurysm repair. J Vasc Surg. 1997;25:179–186
  9. Kudo T, Inoune Y, Nakamura H, Sugano N, Hirokawa M, Iwai T. Characteristics of peripheral microembolization during iliac stenting: Doppler ultrasound monitoring. Eur J Vasc Endovsc Surg. 2005;30:311–314
  10. Al-Hamali S, Baskerville P, Fraser S, Walters H, Markus HS. Detection of distal emboli in patients with peripheral arterial stenosis before and after iliac angioplasty: a prospective study. J Vasc Surg. 1999;29:345–351
  11. Konig CW, Pusich B, Tepe G, Wendel HP, Hahn U, Schneider W, et al. Frequent embolization in peripheral angioplasty: detection with an embolism protection device (angioguard) and electron microscopy. Cardiovasc Intervent Radiol. 2003;26:334–339
  12. Freeman HJ, Rundback JH. Embolic protection in femoropopliteal artery intervention: what devices are available and when is it necessary. Endovasc Today. 2006;5:65–69
  13. Benichou H, Bergeron P. Carotid angioplasty and stenting: will periprocedural transcranial Doppler monitoring be important?. J Endovasc Surg. 1996;3:217–223
  14. Orlandi G, Fanucchi S, Fioretti C, Acerbi G, Puglioli M, Padolecchia R, et al. Characteristics of cerebral microembolism during carotid stenting and angioplasty alone. Arch Neurol. 2001;58:1410–1413
  15. Al-Mubarak N, Roubin GS, Vitek JJ, Iyer SS, New G, Leon MB. Effect of the distal-balloon protection system on microembolization during carotid stenting. Circulation. 2001;104:1999–2002
  16. Manninen HI, Rasanen HT, Vanninen RL, Vainio P, Hippelainen M, Kosma VM. Stent placement versus percutaneous transluminal angioplasty of human carotid arteries in cadavers in situ: distal embolization and findings at intravascular US, MR imaging and histopathologic analysis. Radiology. 1999;212:483–492
  17. Chen CI, Iguchi Y, Garami Z, Malkoff MD, Smalling RW, Campbell MS, et al. Analysis of emboli during carotid stenting with distal protection device. Cerebrovasc Dis. 2006;21:223–228
  18. Faxon DP, Sanhorn TA, Haudenschild CC. Mechanism of angioplasty and its relation to restensosis. Am J Cardiol. 1987;60:5B–9B
  19. Ohki T, Marin ML, Lyon RT, Berdejo GL, Soundararajan K, Ohki M, et al. Ex vivo human carotid artery bifurcation stenting: correlation of lesion characteristics with embolic potential. J Vasc Surg. 1998;27:463–471
  20. Theron J, Courheoux P, Alachkar F, Bouvard G, Maisa D. New triple coaxial catheter system for carotid angioplasty with cerebral protection. Am J Neuroradiol. 1990;11:869–874
  21. Suri R, Wholey M, Postoak D, Hagino R, Toursakkissian B. Distal embolic protection during femoropoliteal atherectomy. Cath Card Interv. 2006;67:417–422
  22. Zeller T, Rastan A, Schwarzwalder U, Frank U, Burgelin K, Amantea P, et al. Percutaneous peripheral atherectomy of femoropopliteal stenoses using a new-generation device: six-month results from a single-center experience. J Endovasc Ther. 2004;11:676–685
  23. Dormandy JA, Rutherford RB TASC Working Group. TransAtlantic Inter-Society Consensus (TASC). Management of peripheral arterial disease (PAD). J Vasc Surg. 2000;31:S1–S296
  24. Levi C, O’Malley H, Fell G, Roberts A, Hoare M, Royle J, et al. Transcranial Doppler detected cerebral microembolism following carotid endarterectomy High microembolic signal loads predict postoperative cerebral ischemia. Brain. 1997;120:621–629

 Competition of interest: none.

PII: S0741-5214(07)01291-8

doi: 10.1016/j.jvs.2007.07.058

Journal of Vascular Surgery
Volume 46, Issue 6 , Pages 1155-1159 , December 2007

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