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Crossing an Ultracritical Carotid Stenosis for Carotid Angioplasty

^* To whom correspondence should be addressed. E-mail: dahn{at}uchc.edu.

	Abstract

Carotid angioplasty requires early placement of a cerebral protection device in an effort to minimize cerebral embolization during the conduct of the subsequent angioplasty and stenting procedure. In patients who exhibit a very critical internal carotid artery (ICA) stenosis (99%), initial passage of the lesion may not be possible with a standard 0.014-inch wire system. In this report, the authors describe an approach using a 0.012-inch hydrophilic system to overcome this technical obstacle.

First published on October 14, 2009
Vascular and Endovascular Surgery 2009, doi:10.1177/1538574409349321


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