Predicting embolic potential during carotid angioplasty and stenting: Analysis of captured particulate debris, ultrasound characteristics, and prior carotid.

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Presentation transcript:

Predicting embolic potential during carotid angioplasty and stenting: Analysis of captured particulate debris, ultrasound characteristics, and prior carotid endarterectomy Rajesh K. Malik, MD, Gregg S. Landis, MD, Scott Sundick, MD, Neal Cayne, MD, Michael Marin, MD, Peter L. Faries, MD Journal of Vascular Surgery Volume 51, Issue 2, Pages 317-322 (February 2010) DOI: 10.1016/j.jvs.2009.08.063 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Captured particulate debris in filter. Journal of Vascular Surgery 2010 51, 317-322DOI: (10.1016/j.jvs.2009.08.063) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Photomicrographs of hematoxylin and eosin staining under the dissecting microscope (left, bar, 300 μm; right, bar, 60 μm) of the captured particulate show amorphous, largely acellular proteinaceous material. Journal of Vascular Surgery 2010 51, 317-322DOI: (10.1016/j.jvs.2009.08.063) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 The presence of calcium in the captured embolic debris was correlated with preprocedural ultrasound imaging and angiographic evidence of heavily and moderately calcified lesions (bar, 60 μm). Journal of Vascular Surgery 2010 51, 317-322DOI: (10.1016/j.jvs.2009.08.063) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 Energy dispersive spectroscopy confirmed presence of Ca2+ (3.69 keV). Journal of Vascular Surgery 2010 51, 317-322DOI: (10.1016/j.jvs.2009.08.063) Copyright © 2010 Society for Vascular Surgery Terms and Conditions