Initial multicenter experience with a novel distal protection filter during carotid artery stent implantation
Identifieur interne : 000999 ( PascalFrancis/Checkpoint ); précédent : 000998; suivant : 000A00Initial multicenter experience with a novel distal protection filter during carotid artery stent implantation
Auteurs : Eberhard Grube [Allemagne] ; Antonio Colombo [Italie] ; Eugen Hauptmann [Allemagne] ; Hugo Londero [Argentine] ; Nicolaus Reifart [Allemagne] ; Ulrich Gerckens [Allemagne] ; Gregg W. Stone [États-Unis]Source :
- Catheterization and cardiovascular interventions [ 1522-1946 ] ; 2003.
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- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Atheroembolization resulting in transient or permanent neurologic impairment is the most common complication of catheter-based percutaneous carotid artery intervention. Protection of the distal cerebral vasculature during carotid stent implantation may enhance procedural safety. Carotid stent implantation with distal cerebral protection using the FilterWire EX was performed in 35 consecutive patients undergoing 36 procedures at six centers. The FilterWire was delivered and deployed successfully in all 36 cases, and embolic material was retrieved from 74% of procedures. The 30-day rate of major adverse events (death, major or minor stroke) was 0%. Transient ipsilateral periprocedural neurologic ischemia developed in two patients (5.7%), both resolving within 30 min. Distal cerebral protection with the FilterWire during carotid stenting is feasible and safe, results in capture and extraction of atheroembolic debris in the majority of patients while affording uninterrupted cerebral perfusion, and in this initial multicenter experience was associated with a high rate of procedural success without major complications.
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<front><div type="abstract" xml:lang="en">Atheroembolization resulting in transient or permanent neurologic impairment is the most common complication of catheter-based percutaneous carotid artery intervention. Protection of the distal cerebral vasculature during carotid stent implantation may enhance procedural safety. Carotid stent implantation with distal cerebral protection using the FilterWire EX was performed in 35 consecutive patients undergoing 36 procedures at six centers. The FilterWire was delivered and deployed successfully in all 36 cases, and embolic material was retrieved from 74% of procedures. The 30-day rate of major adverse events (death, major or minor stroke) was 0%. Transient ipsilateral periprocedural neurologic ischemia developed in two patients (5.7%), both resolving within 30 min. Distal cerebral protection with the FilterWire during carotid stenting is feasible and safe, results in capture and extraction of atheroembolic debris in the majority of patients while affording uninterrupted cerebral perfusion, and in this initial multicenter experience was associated with a high rate of procedural success without major complications.</div>
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<s5>54</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Vaso sanguíneo patología</s0>
<s5>54</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Système nerveux pathologie</s0>
<s5>55</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>55</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>55</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0>
<s5>56</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>56</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>56</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Encéphale pathologie</s0>
<s5>57</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>57</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>57</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Cérébrovasculaire pathologie</s0>
<s5>58</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Cerebrovascular disease</s0>
<s5>58</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Vaso sanguíneo encéfalo patología</s0>
<s5>58</s5>
</fC07>
<fN21><s1>083</s1>
</fN21>
<fN82><s1>PSI</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations><list><country><li>Allemagne</li>
<li>Argentine</li>
<li>Italie</li>
<li>États-Unis</li>
</country>
<region><li>Lombardie</li>
<li>État de New York</li>
</region>
<settlement><li>Milan</li>
</settlement>
</list>
<tree><country name="Allemagne"><noRegion><name sortKey="Grube, Eberhard" sort="Grube, Eberhard" uniqKey="Grube E" first="Eberhard" last="Grube">Eberhard Grube</name>
</noRegion>
<name sortKey="Gerckens, Ulrich" sort="Gerckens, Ulrich" uniqKey="Gerckens U" first="Ulrich" last="Gerckens">Ulrich Gerckens</name>
<name sortKey="Hauptmann, Eugen" sort="Hauptmann, Eugen" uniqKey="Hauptmann E" first="Eugen" last="Hauptmann">Eugen Hauptmann</name>
<name sortKey="Reifart, Nicolaus" sort="Reifart, Nicolaus" uniqKey="Reifart N" first="Nicolaus" last="Reifart">Nicolaus Reifart</name>
</country>
<country name="Italie"><region name="Lombardie"><name sortKey="Colombo, Antonio" sort="Colombo, Antonio" uniqKey="Colombo A" first="Antonio" last="Colombo">Antonio Colombo</name>
</region>
</country>
<country name="Argentine"><noRegion><name sortKey="Londero, Hugo" sort="Londero, Hugo" uniqKey="Londero H" first="Hugo" last="Londero">Hugo Londero</name>
</noRegion>
</country>
<country name="États-Unis"><region name="État de New York"><name sortKey="Stone, Gregg W" sort="Stone, Gregg W" uniqKey="Stone G" first="Gregg W." last="Stone">Gregg W. Stone</name>
</region>
</country>
</tree>
</affiliations>
</record>
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