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Guard. Wire Plus™ Guard. Wire Plus Export Aspiration Catheter Inflation System: Micro. Seal® Adapter & EZ Flator™
Accu. Net Polyurethane 115 microns 3. 5 -3. 7 F
Angioguard™ XP / RX Cordis Polyurethane Crossing profile: 3. 2 -3. 9 Fr 100μm
GORE® Embolic Filter Gore Mesh-Covered Carotid Stent Diamond Frame e. PTFE Filter Media with 100 -Micron Pores and Hydrophilic Heparin Coating 3. 2 Fr crossing profile combines the flexible properties of a traditional open-cell, nitinol stent design with a 500 micron pore size e. PTFE lattice which offers the plaque retention and stabilization benefits traditionally seen in a closed cell stent design. Additionally, the permanently bound heparin may offer a local advantage seen with other Gore devices that utilize bound heparin.
CGUARD™ Embolic Prevention System (EPS), Inspire. MD, 101 patients (54. 4% symptomatic) 0. 9% of minor stroke at 30 -days follow-up, no major events). � CGuard material: Nitinol � Micro. Net material: Polyethylene Terephthalate (PET) � Dual Layer Design � Open cell stent platform wrapped in Micro. Net mesh � Micro. Net TM for continuous embolic prevention Micro. Net (“pore” is only 150 -180 microns) � Smart. Fit. TM Technology eliminates need for tapered version
Filter. Wire EZ Boston Eccentric Loop Design Polyurethane Crossing profile: 3. 2 Fr 110µM
Spider. FX COVIDIEN ΑΝΕΞΑΡΤΗΤΟ ΣΥΡΜΑ Eccentric design heparin coated nitinol 50 mm – 3. 2 F
Fiber Net® PET (Polyethylene terephthalate) Fibers 40µm 2. 4 -2. 9 Fr Καθετήρας απόσυρσης = αναρόφησης
W. L. Gore & Associates, Inc. Requires complete Circle of Willis Complicated Profile 9 F 3. 7% groin hematoma in trial No need to “touch” lesion prior to stenting Requires venous access Must work on roadmap as physician cannot inject contrast Intolerance to reverse flow and occlusion
• “Lesion is crossed after patient is completely protected. ” • GW of choice to cross the lesion • Intolerance to occlusion • External carotid balloon jailed between the artery and the stent. • No need to aspirate with filter • «ΕΠΙΚΙΝΔΥΝΕΣ» ΒΛΑΒΕΣ • ΑΝΑΤΟΜΙΚΕΣ ΔΥΣΚΟΛΙΕΣ
Συνδυασμός τραχηλικής προσπέλασης και αναστροφής της ροής The ENROUTE transcarotid neuroprotection (NPS) and stent (TSS) systems Silk Road Medical, Inc.
΄΄With the Enroute transcarotid NPS, we now have CEA-like neuroprotection and a simplified procedure that can fulfill the promise of CAS. ”
Evidence overview: benefit of cerebral protection devices during carotid artery stenting In conclusion, all currently available EPDs still result in some degree of cerebral embolization. No solid recommendation for a particular type of EPDs, if any, can be derived from literature J Cardiovasc Surg (Torino). 2017 Apr; 58(2): 170 -177. doi: 10. 23736/S 00219509. 16. 09848 -7. Epub 2016 Dec 22 In patients undergoing CAS, both D-EPD and P-EPD provide similar levels of protection from peri-procedural stroke and 30 days mortality. Catheter Cardiovasc Interv. 2017 Apr; 89(5): 923 -931. doi: 10. 1002/ccd. 26842. Epub 2016 Nov 12.