Embolic risk of the different stages of carotid bifurcation balloon angioplasty: An experimental study Marc Coggia, MD, Olivier Goëau-Brissonnière, MD,

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Presentation transcript:

Embolic risk of the different stages of carotid bifurcation balloon angioplasty: An experimental study Marc Coggia, MD, Olivier Goëau-Brissonnière, MD, PhD, Jean-Luc Duval, BS, Jean-Pascal Leschi, MD, Michel Letort, PhD, Marie- Danielle Nagel, PhD Journal of Vascular Surgery Volume 31, Issue 3, Pages 550-557 (March 2000) DOI: 10.1067/mva.2000.102730 Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Number of small particles (<60 μm maximal diameter) detected by the Coulter technique. Journal of Vascular Surgery 2000 31, 550-557DOI: (10.1067/mva.2000.102730) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Mean diameter of small particles (<60 μm maximal diameter) detected by the Coulter technique. Journal of Vascular Surgery 2000 31, 550-557DOI: (10.1067/mva.2000.102730) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Maximal size of particles detected by SEM examination. Journal of Vascular Surgery 2000 31, 550-557DOI: (10.1067/mva.2000.102730) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Particles shown by SEM examination of the E1 effluent collected after crossing the CP2 carotid plaque with a guidewire. (Original magnification, ×250.) Journal of Vascular Surgery 2000 31, 550-557DOI: (10.1067/mva.2000.102730) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 SEM examination of the E2 effluent collected from the CP5 specimen after the balloon catheter was positioned shows a large embolic particle. (Original magnification, ×250.) Journal of Vascular Surgery 2000 31, 550-557DOI: (10.1067/mva.2000.102730) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Number of small particles with a diameter between 20 and 60 μm. Journal of Vascular Surgery 2000 31, 550-557DOI: (10.1067/mva.2000.102730) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 7 Particles demonstrated by means of SEM examination of the E3 effluents collected from CP4 (A) and CP5 (B) plaques after balloon angioplasty. (Original magnification, ×50.) Journal of Vascular Surgery 2000 31, 550-557DOI: (10.1067/mva.2000.102730) Copyright © 2000 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions