Journal of Vascular Surgery
Volume 49, Issue 3 , Pages 607-613 , March 2009

Reduction of postprocedure microemboli following retrospective quality assessment and practice improvement measures for carotid angioplasty and stenting

Presented at the Spring Meeting of the Peripheral Vascular Surgery Society, San Diego, Calif, June 6-7, 2008.

  • Maureen M. Tedesco, MD

      Affiliations

    • Division of Vascular Surgery, Stanford University Medical Center, Stanford, Calif
    • ,
  • Ronald L. Dalman, MD

      Affiliations

    • Division of Vascular Surgery, Stanford University Medical Center, Stanford, Calif
    • ,
  • Wei Zhou, MD

      Affiliations

    • Division of Vascular Surgery, Stanford University Medical Center, Stanford, Calif
    • ,
  • Sheila M. Coogan, MD

      Affiliations

    • Division of Cardiothoracic and Vascular Surgery, University of Texas-Houston Medical Center, Houston, Tex
    • ,
  • Barton Lane, MD

      Affiliations

    • Division of Neuroradiology, Stanford University Medical Center, Stanford, Calif
    • ,
  • Jason T. Lee, MD

      Affiliations

    • Division of Vascular Surgery, Stanford University Medical Center, Stanford, Calif
    • Corresponding Author InformationReprint requests: Jason T. Lee, MD, Division of Vascular Surgery, Stanford University Medical Center, 300 Pasteur Drive, Suite H3600, Stanford, CA 94305

Received 5 July 2008 ,Accepted 20 October 2008.

References 

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  2. Veith FJ, Amor M, Ohki T, Beebe HG, Bell PR, Bolia A, et al. Current status of carotid bifurcation angioplasty and stenting based on a consensus of opinion leaders. J Vasc Surg. 2001;33(2 Suppl):S111–S116
  3. Tedesco MM, Lee JT, Dalman RL, Lane B, Loh C, Haukoos JS, et al. Postprocedural microembolic events following carotid surgery and carotid angioplasty and stenting. J Vasc Surg. 2007;46:244–250
  4. Bosiers M, de Donato G, Deloose K, Verbist J, Peeters P, Castriota F, et al. Does free cell area influence the outcome in carotid artery stenting?. Eur J Vasc Endovasc Surg. 2007;33:135–141discussion 142
  5. Schluter M, Reimers B, Castriota F, Tübler T, Cernetti C, Cremonesi A, et al. Impact of diabetes, patient age, and gender on the 30-day incidence of stroke and death in patients undergoing carotid artery stenting with embolus protection: a post-hoc subanalysis of a prospective multicenter registry. J Endovasc Ther. 2007;14:271–278
  6. Seretis K, Goudakos I, Vlachakis I, Anthimidis G, Papadimitriou D. Carotid artery disease in octogenarians: endarterectomy or stenting?. Int Angiol. 2007;26:353–360
  7. Tedesco MM, Coogan SM, Dalman RL, Haukoos JS, Lane B, Loh C, et al. Risk factors for developing postprocedural microemboli following carotid interventions. J Endovasc Ther. 2007;14:561–567
  8. Rapp JH, Wakil L, Sawhney R, Pan XM, Yenari MA, Glastonbury C, et al. Subclinical embolization after carotid artery stenting: new lesions on diffusion-weighted magnetic resonance imaging occur postprocedure. J Vasc Surg. 2007;45:867–872discussion 872
  9. North American Symptomatic Carotid Endarterectomy Trial (NASCET) investigators. Clinical alert: benefit of carotid endarterectomy for patients with high-grade stenosis of the internal carotid artery (National Institute of Neurological Disorders and Stroke Stroke and Trauma Division). Stroke. 1991;22:816–817
  10. Schneider PA, Bohannon WT, Silva MB. Carotid interventions. New York: Marcel Dekker; 2004;
  11. Olcott C, Mitchell RS, Steinberg GK, Zarins CK. Institutional peer review can reduce the risk and cost of carotid endarterectomy. Arch Surg. 2000;135:939–942
  12. Jaeger HJ, Mathias KD, Hauth E, Drescher R, Gissler HM, Hennigs S, et al. Cerebral ischemia detected with diffusion-weighted MR imaging after stent implantation in the carotid artery. AJNR Am J Neuroradiol. 2002;23:200–207
  13. Pinero P, Gonzalez A, Mayol A, Martinez E, Gonzalez-Marcos JR, Boza F, et al. Silent ischemia after neuroprotected percutaneous carotid stenting: a diffusion-weighted MRI study. AJNR Am J Neuroradiol. 2006;27:1338–1345
  14. Kastrup A, Gröschel K, Krapf H, Brehm BR, Dichgans J, Schulz JB. Early outcome of carotid angioplasty and stenting with and without cerebral protection devices: a systematic review of the literature. Stroke. 2003;34:813–819
  15. Lam RC, Lin SC, DeRubertis B, Hynecek R, Kent KC, Faries PL. The impact of increasing age on anatomic factors affecting carotid angioplasty and stenting. J Vasc Surg. 2007;45:875–880
  16. Hobson RW. Carotid artery stenting in octogenarians: the jury is still out. J Endovasc Ther. 2006;13:310–311
  17. 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
  18. Yadav JS. Carotid stenting in high-risk patients: design and rationale of the SAPPHIRE trial. Cleveland Clinic J Med. 2004;71(Suppl 1):S45–S46

 Competition of interest: none.

PII: S0741-5214(08)01801-6

doi: 10.1016/j.jvs.2008.10.031

Journal of Vascular Surgery
Volume 49, Issue 3 , Pages 607-613 , March 2009

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