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Safety and feasibility of a novel transcervical access neuroprotection system for carotid artery stenting in the PROOF Study  Laszlo Pinter, MD, Marc.

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Presentation on theme: "Safety and feasibility of a novel transcervical access neuroprotection system for carotid artery stenting in the PROOF Study  Laszlo Pinter, MD, Marc."— Presentation transcript:

1 Safety and feasibility of a novel transcervical access neuroprotection system for carotid artery stenting in the PROOF Study  Laszlo Pinter, MD, Marc Ribo, MD, Christopher Loh, MD, Barton Lane, MD, Tracy Roberts, MT (ASCP), Tony M. Chou, MD, Ralf R. Kolvenbach, MD, PhD  Journal of Vascular Surgery  Volume 54, Issue 5, Pages (November 2011) DOI: /j.jvs Copyright © Terms and Conditions

2 Fig 1 The MICHI Neuroprotection System. A, The system consists of a transcervical arterial access sheath, a shunt line with a flow controller, and a femoral venous return sheath, forming an arteriovenous shunt circuit (indicated in red). B, Detail of the flow controller. A toggle switch allows shifting from “Lo” baseline flow to “Hi” flow, at the operator's discretion. The Flow Stop button allows interruption of reverse flow for antegrade angiography injections or at the operator's discretion. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

3 Fig 2 Placement of the reverse flow circuit. A, The arterial access sheath is placed via a ≈2-cm incision above the clavicle into the common carotid artery. B, The venous sheath is inserted percutaneously in the femoral vein and connected via the flow line to the arterial sheath. The reverse flow circuit is established and controlled by an interposed flow line with flow controller. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions

4 Fig 3 Patient enrollment and procedure reconciliation.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © Terms and Conditions


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