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Use of endovascular clamping as neuroprotection during carotid stenting in the presence of a critical ipsilateral stenosis of the external carotid artery

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EuroInterv.2008;3:588-592
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Angiographic images of a patient presenting with critical stenosis of the internal carotid artery (ICA), with a kinking at the distal portion, and a subtotal occlusion of the external carotid artery (ECA).

Angiographic images of a patient presenting with critical stenosis of the internal carotid artery (ICA), with a kinking at the distal portion, and a subtotal occlusion of the external carotid artery (ECA).
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Video Video

Procedure performed using the endovascular clamping as a cerebral protection device. Here a stiff wire has been placed in the ECA and the MoMa has been advanced at the proximal part of the ECA were the device distal balloon as been inflated.

Procedure performed using the endovascular clamping as a cerebral protection device. Here a stiff wire has been placed in the ECA and the MoMa has been advanced at the proximal part of the ECA were the device distal balloon as been inflated.
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Predilation has been performed before stent deployment.

Predilation has been performed before stent deployment.
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Postdilation picture shows appropriate stent expansion and absence of distal spasm.

Postdilation picture shows appropriate stent expansion and absence of distal spasm.
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Final picture shows procedural success and preserved ECA perfusion.

Final picture shows procedural success and preserved ECA perfusion.
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Keywords: carotid artery stenting, embolic protection device, ECA, extracranial atherosclerosis
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