Carotid artery stenting for carotid artery stenosis Dr
- Slides: 40
Carotid artery stenting for carotid artery stenosis Dr. Nikolaos Melas, Ph. D Vascular and Endovascular Surgeon Military Doctor Associate in 1 st department of Surgery, Aristotle University of Thessaloniki, Greece Associate in Interbalcan Medical Center
Preoperative scanning
Carotid Triplex high grade stenosis of internal carotid artery
MRA (magnetic res angiography)
Digital subtraction angiography (DSA)
MRI (magnetic res. imaging) Huge right hemispheric infarct
Carotid stenting procedure
st 1 case
Initial angiography severe internal carotid kinking (red arrow) High grade ostial stenosis in internal carotid artery (κίτρινο βέλος)
Initially Cerebral protection device is deployed
Pre stenting angiography the yellow arrow shows the stenosis to be dilated
Stent deployment
Post deployment we dilate the stent with a balloon
The stent is fully deployed
Initial angiography Final angiography Operative time 10 min The carotid artery is now patent without residual stenosis. The kinking has not changed.
Basic steps in carotid stenting Crossing the lesion Stent deployment and balloon dilatation Cerebral protection filter Filter removal
nd 2 case
Initial angiography severe internal carotid kinking (red arrow) High grade, long in length stenosis in internal carotid artery (κίτρινο βέλος)
Difficulty to pass the stent from the stenosis
Pre dilation with coronary balloon 3 χ 12 mm
Stent deployment (SE 6 -8 x 40 mm)
Post deployment dilation with 5 Χ 30 mm balloon
Angiography after first post dilation there is still a residual stenosis (red arrow)
2 nd post dilation
Final angiography
Prior to stenting CASE 3 Post stenting
Prior to stenting CASE 4
Prior to stenting CASE 5 Post stenting
Prior to stenting CASE 6
Prior to stenting Post stenting CASE 7
CASE 8 Prior to stenting Post stenting
CASE 9 Prior to stenting Post stenting
CASE 10 Prior to stenting Post stenting
CASE 11 Prior to stenting Post stenting
CASE 12 Prior to stenting Post stenting
CASE 13 Prior to stenting Post stenting
CASE 14 Prior to stenting Post stenting
Prior to stenting CASE 15 Post stenting
CASE 16 Prior to stenting Post stenting
- Ashar luqman
- Incisive defintion
- Digestive system cat dissection
- Brain
- Branches of subclavian artery
- Blood vessel model
- Inferior phrenic vein
- Blood supply of brain
- Carotid artery hold
- Carotid artery pulse
- Anterior border of sternocleidomastoid
- Amurosis fugax
- Dk crush technique steps
- Mini culotte stenting
- Inverted provisional stenting
- Superior mesenteric artery origin
- Atheromatous thoracic aorta
- Angiorrhexis definition
- Icd 10 pcs code for discectomy
- Transvalvular gradient
- Define mitral stenosis
- Pyloric stenosis
- Stages of aortic stenosis
- Currant jelly stool
- Wilkins score
- Malar flush pathophysiology
- Murmur in asd
- Rvh cxr
- Pyloric stenosis
- Mitral stenosis pulmonary hypertension
- Hirschsprung's disease
- Severe ms heart
- Subglottic stenosis
- Celer et altus
- Choanal atresia,
- Fish mouth buttonhole stenosis
- Pyloric stenosis nursing diagnosis
- Funiculus posterior medulla spinalis
- Valve resistance formula
- Pathophysiology of valvular heart disease
- Cricoid cartillage