Journal of Vascular Surgery
Volume 49, Issue 2 , Pages 340-345.e2 , February 2009

Feasibility of simultaneous pre- and postfilter transcranial Doppler monitoring during carotid artery stenting

Presented at the Thirty-third Annual Peripheral Vascular Surgical Society Meeting, San Diego, Calif, Jun 6, 2008.

Received 6 June 2008 ,Accepted 30 August 2008.

References 

  1. Barnett HJ, Taylor DW, Eliasziw M, Fox AJ, Ferguson GG, Haynes RB, et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis (North American Symptomatic Carotid Endarterectomy Trial Collaborators). New Engl J Med. 1998;339:1415–1425
  2. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet. 1998;351:1379–1387
  3. Gray WA, Yadav JS, Verta P, Scicli A, Fairman R, Wholey M, et al. The CAPTURE registry: predictors of outcomes in carotid artery stenting with embolic protection for high surgical risk patients in the early post-approval setting. Catheter Cardiovasc Intervent. 2007;70:1025–1033
  4. Ackerstaff RG, Suttorp MJ, van den Berg JC, Overtoom TT, Vos JA, Bal ET, et al. Prediction of early cerebral outcome by transcranial Doppler monitoring in carotid bifurcation angioplasty and stenting. J Vasc Surg. 2005;41:618–624
  5. Gossetti B, Gattuso R, Irace L, Faccenna F, Venosi S, Bozzao L, et al. Embolism to the brain during carotid stenting and surgery. Acta chirurgica Belgica. 2007;107:151–154
  6. du Mesnil de Rochemont R, Schneider S, Yan B, Lehr A, Sitzer M, Berkefeld J. Diffusion-weighted MR imaging lesions after filter-protected stenting of high-grade symptomatic carotid artery stenoses. AJNR. 2006;27:1321–1325
  7. Criado E, Fontcuberta J, Orgaz A, Flores A, Doblas M. Transcervical carotid stenting with carotid artery flow reversal: 3-year follow-up of 103 stents. J Vasc Surg. 2007;46:864–869
  8. Ribo M, Molina CA, Alvarez B, Rubiera M, Alvarez-Sabin J, Matas M. Transcranial Doppler monitoring of transcervical carotid stenting with flow reversal protection: a novel carotid revascularization technique. Stroke. 2006;37:2846–2849
  9. Jaeger H, Mathias K, Drescher R, Hauth E, Bockisch G, Demirel E, et al. Clinical results of cerebral protection with a filter device during stent implantation of the carotid artery. Cardiovasc Intervent Radiol. 2001;24:249–256
  10. Palombo G, Faraglia V, Stella N, Giugni E, Bozzao A, Taurino M, et al. Late evaluation of silent cerebral ischemia detected by diffusion-weighted MR imaging after filter-protected carotid artery stenting. AJNR. 2008;
  11. Flach HZ, Ouhlous M, Hendriks JM, Van Sambeek MR, Veenland JF, Koudstaal PJ, et al. Cerebral ischemia after carotid intervention. J Endovasc Ther. 2004;11:251–257
  12. Hammer FD, Lacroix V, Duprez T, Grandin C, Verhelst R, Peeters A, et al. Cerebral microembolization after protected carotid artery stenting in surgical high-risk patients: results of a 2-year prospective study. J Vasc Surg. 2005;42:847–853discussion 53
  13. Cremonesi A, Setacci C, Bignamini A, Bolognese L, Briganti F, Di Sciascio G, et al. Carotid artery stenting: first consensus document of the ICCS-SPREAD Joint Committee. Stroke. 2006;37:2400–2409
  14. Topcuoglu MA, Palacios IF, Buonanno FS. Contrast M-mode power Doppler ultrasound in the detection of right-to-left shunts: utility of submandibular internal carotid artery recording. J Neuroimaging. 2003;13:315–323
  15. Basic identification criteria of Doppler microembolic signals (Consensus Committee of the Ninth International Cerebral Hemodynamic Symposium). Stroke. 1995;26:1123
  16. Rosenkranz M, Fiehler J, Niesen W, Waiblinger C, Eckert B, Wittkugel O, et al. The amount of solid cerebral microemboli during carotid stenting does not relate to the frequency of silent ischemic lesions. AJNR. 2006;27:157–161
  17. DeRubertis BG, Chaer RA, Gordon R, Bell H, Hynecek RL, Pieracci FM, et al. Determining the quantity and character of carotid artery embolic debris by electron microscopy and energy dispersive spectroscopy. J Vasc Surg. 2007;45:716–724discussion 24-5
  18. Cremonesi A, Manetti R, Setacci F, Setacci C, Castriota F. Protected carotid stenting: clinical advantages and complications of embolic protection devices in 442 consecutive patients. Stroke. 2003;34:1936–1941
  19. 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 (Basel, Switzerland). 2006;21:223–228
  20. Coggia M, Goeau-Brissonniere O, Duval JL, Leschi JP, Letort M, Nagel MD. Embolic risk of the different stages of carotid bifurcation balloon angioplasty: an experimental study. J Vasc Surg. 2000;31:550–557
  21. Spencer MP, Moehring MA, Jesurum J, Gray WA, Olsen JV, Reisman M. Power m-mode transcranial Doppler for diagnosis of patent foramen ovale and assessing transcatheter closure. J Neuroimaging. 2004;14:342–349
  22. Georgiadis D, Uhlmann F, Astler M, Cencetti S, Zierz S. Automated identification of Doppler microembolic signals: comparison of two techniques. Neurol Res. 2000;22:738–740
  23. Hellings WE, Ackerstaff RG, Pasterkamp G, De Vries JP, Moll FL. The carotid atherosclerotic plaque and microembolisation during carotid stenting. J Cardiovasc Surg. 2006;47:115–126
  24. Transcranial Doppler monitoring in angioplasty and stenting of the carotid bifurcation. J Endovasc Ther. 2003;10:702–710

 Competition of interest: none.

 Additional material for this article may be found online at www.jvascsurg.org

PII: S0741-5214(08)01510-3

doi: 10.1016/j.jvs.2008.08.102

Journal of Vascular Surgery
Volume 49, Issue 2 , Pages 340-345.e2 , February 2009