1. The Carotid Case I Never Did and Why
Gary M Ansel MD FACC
Riverside Methodist Hospital
Ohio Health
Columbus, Ohio

2. Gary M. Ansel, MD Honoraria: Consulting Fees: Cardiometrics
W.L. Gore and Associates,Inc./Embolitech
Consulting Fees:
Cardiometrics
Covidien/Ev3
Flexible Stenting Solutions
Nellix, Inc.

3. Vascular Think Tank/Becher VSG Vatrix Medical Best Doctors
Consulting Fees:
Nexeon
Ostial Solutions
SimSuite
Vascular Think Tank/Becher VSG
Vatrix Medical
Best Doctors
Vascular Performance Products

4. Royalty:
Veryan/Novate
Ownership Interest (stock, stock options, or other ownership interests):
Embolitech

5. My presentation will include off label discussions: Stents

6. The Carotid Case I Never Did
78 y.o. female
Pt with hx of TIA
PMHx
HTN
Hyperlipidemia
Bruits on exam
Carotid Duplex from outside institution

7. Type II Aortic Arch

8. Rt Carotid Angiogram

16. CAS Risk Factors WHEN IS CAS High Risk
Sx (hot) lesion…
Elderly pts…
Low GSM…
Pre dil without EP …
Tortuousity- perilesional
Aortic Arch disease…
Multiple stents…
Filter Duration…
Concentric calcium…
Renal Failure...

17. Proximal EP Decreasing Risk?
Sx (hot) lesion…
Elderly pts + easy anatomy
Low GSM…
Pre dil without EP …
Tortuousity- perilesional
Aortic Arch disease…
Multiple stents…
Duration Filter…
Concentric calcium…
Renal Failure...