Carotid Artery Stenting for Stroke Prevention

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Carotid Artery Stenting for Stroke Prevention Jacqueline Saw, MD Canadian Journal of Cardiology Volume 30, Issue 1, Pages 22-34 (January 2014) DOI: 10.1016/j.cjca.2013.09.030 Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

Figure 1 Currently available filter emboli protection devices and their characteristics. Abbott Vascular's Accunet and Nav6 images courtesy of Abbott Vascular © 2013 Abbott. All Rights Reserved. Gore Embolic Filter is reproduced with permission from Gore Medical. ANGIOGUARD XP Emboli Capture Guidewire System reproduced with permission of the Cordis Corporation. © Cordis Corporation 2013. Fibernet Emboli Protection Device reproduced with permission from Medtronic. Spider is reproduced with permission from Covidien. SpiderFX is a trademark of a Covidien company. © Covidien. All rights reserved. FilterWire EZ Embolic Protection System reproduced with permission of Boston Scientific Corporation. © 2013 Boston Scientific Corporation or its affiliates. All rights reserved. Canadian Journal of Cardiology 2014 30, 22-34DOI: (10.1016/j.cjca.2013.09.030) Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

Figure 2 High–surgical-risk carotid artery stenting registries (30-day death and stroke rates).27-39 ARCHeR, ACCULINK for Revascularization of Carotids in High-Risk Patients; ARMOUR, Proximal Protection With the Mo. Ma Device During Carotid Stenting; BEACH, Boston Scientific EPI-A Carotid Stenting Trial for High-Risk Surgical Patients; CABERNET, Carotid Artery Revascularization Using the Boston Scientific EPI FilterWire EX/EZ and the EndoTex NexStent; CREATE, Cartoid Revascularization With ev3 Arterial Technology Evolution; EMPIRE, Embolic Protection With Reverse Flow; EPIC, FiberNet Embolic Protection System in Carotid Artery Stenting Trial; MAVErIC, Medtronic AVE Self-Expanding Carotid Stent System With Distal Protection in the Treatment of Carotid Stenosis; PROTECT, Protected Carotid Artery Stenting in Patients at High Risk for Carotid Endarterectomy; SAPPHIRE, Stenting and Angioplasty With Protection in Patients at High Risk for Endarterectomy; SECURITY, Registry Study to Evaluate the Neuroshield Bare Wire Cerebral Protection System and X-Act Stent in Patients at High Risk for Carotid Endarterectomy. Canadian Journal of Cardiology 2014 30, 22-34DOI: (10.1016/j.cjca.2013.09.030) Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions

Figure 3 (A) Before carotid artery stenting. (B) After carotid artery stenting. Canadian Journal of Cardiology 2014 30, 22-34DOI: (10.1016/j.cjca.2013.09.030) Copyright © 2014 Canadian Cardiovascular Society Terms and Conditions