Current update of cerebral embolic protection devices

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Presentation transcript:

Current update of cerebral embolic protection devices Albeir Y. Mousa, MD, John E. Campbell, MD, Ali F. AbuRahma, MD, Mark C. Bates, MD Journal of Vascular Surgery Volume 56, Issue 5, Pages 1429-1437 (November 2012) DOI: 10.1016/j.jvs.2012.05.077 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Bar graph demonstrates the 30-day stroke rate in all current studies of carotid artery stenting; the stroke rate decreases along the time line for these studies. ARCHER II, Acculink for Revascularization of Carotids in High-Risk Patients trial II; ARCHER III, Acculink for Revascularization of Carotids in High-Risk Patients trial III; CABERNET, Carotid Artery Revascularization Using the Boston Scientific EPI FilterWire EX/EZ and the EndoTex NexStent; CREATE II, Carotid Revascularization with ev3 Arterial Technology Evolution; CREST, Carotid Revascularization Endarterectomy vs Stent Trial; EMPIRE, Embolic Protection with Flow Reversal; EPIC, FiberNet Embolic Protection System in Carotid Artery Stenting Trial; MAVErIC, Evaluation of the Medtronic AVE Self-Expanding Carotid Stent System with Distal Protection in the Treatment of Carotid Stenosis; SAPPHIRE, Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy; SECURITY, A Registry Study to Evaluate the Neuroshield Bare Wire Cerebral Protection System and Xact Stent in Patients at High Risk for Carotid Endarterectomy. Journal of Vascular Surgery 2012 56, 1429-1437DOI: (10.1016/j.jvs.2012.05.077) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Diagram of a Spider FX (Covidien, Mansfield, Mass) embolic protection device (EPD). Journal of Vascular Surgery 2012 56, 1429-1437DOI: (10.1016/j.jvs.2012.05.077) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Diagram of a FilterWire EZ (Boston Scientific Corp, Natick, Mass) embolic protection device (EPD). Journal of Vascular Surgery 2012 56, 1429-1437DOI: (10.1016/j.jvs.2012.05.077) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 Diagram of an RX Accunet (Abbott Vascular, Santa Clara, Calif) embolic protection device (EPD). Journal of Vascular Surgery 2012 56, 1429-1437DOI: (10.1016/j.jvs.2012.05.077) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 Diagram of an Emboshield Nav6 (Abbott Vascular, Santa Clara, Calif) embolic protection device (EPD). Journal of Vascular Surgery 2012 56, 1429-1437DOI: (10.1016/j.jvs.2012.05.077) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 6 Diagram of an Angioguard RX (Cordis Corp, Bridgewater, NJ) embolic protection device (EPD). Journal of Vascular Surgery 2012 56, 1429-1437DOI: (10.1016/j.jvs.2012.05.077) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 7 Diagram of a FiberNet (Lumen Biomedical Inc, Plymouth, Minn) embolic protection device (EPD). Journal of Vascular Surgery 2012 56, 1429-1437DOI: (10.1016/j.jvs.2012.05.077) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 8 Diagram demonstrates the watershed area when a distal balloon occlusion device is used for embolic protection. Journal of Vascular Surgery 2012 56, 1429-1437DOI: (10.1016/j.jvs.2012.05.077) Copyright © 2012 Society for Vascular Surgery Terms and Conditions