Triple Balloon Protection Technique Using the Mo.Ma Ultra with the Carotid GuardWire for Carotid Stenting: Technical Note

Background We describe the “triple balloon protection technique” (TBPT) using the Mo.Ma Ultra in combination with the Carotid GuardWire during carotid artery stenting (CAS). This technique is expected to prevent distal embolism to the internal and external carotid arteries, and is suitable for East...

Full description

Saved in:
Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2014-08, Vol.23 (7), p.1871-1876
Main Authors: Asai, Katsunori, MD, Imamura, Hirotoshi, MD, PhD, Mineharu, Yohei, MD, PhD, Tani, Shoichi, MD, PhD, Adachi, Hidemitsu, MD, PhD, Narumi, Osamu, MD, PhD, Todo, Kenichi, MD, PhD, Hoshi, Taku, MD, PhD, Sato, Shinsuke, MD, Kono, Tomoyuki, MD, PhD, Sakai, Chiaki, MD, PhD, Sakai, Nobuyuki, MD, PhD
Format: Article
Language:English
Subjects:
Asian Continental Ancestry Group
Balloon Occlusion - instrumentation
Balloon Occlusion - methods
Cardiovascular
Carotid artery stenting
Carotid Stenosis - surgery
Carotid Stenosis - therapy
Cerebral Angiography
Coronary Circulation
Endovascular Procedures - instrumentation
Endovascular Procedures - methods
GuardWire
Humans
Mo.Ma
Neurology
protection device
Stents
Treatment Outcome
triple balloon
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background We describe the “triple balloon protection technique” (TBPT) using the Mo.Ma Ultra in combination with the Carotid GuardWire during carotid artery stenting (CAS). This technique is expected to prevent distal embolism to the internal and external carotid arteries, and is suitable for East Asians in whom the origin of the superior thyroid artery is lower than that in Caucasians. Methods From December 2012 to May 2013, 11 patients underwent CAS using TBPT in our center. Results Procedural success was achieved in all patients. Complete flow blockade by angiography could not be obtained in 8 patients (72.7%) by proximal occlusion using the Mo.Ma Ultra only. Complete angiographic flow blockade was obtained in all patients by TBPT. No major adverse cardiovascular events, including stroke, myocardial infarction, or death because of any cause, occurred within 30 days. Conclusions The use of TBPT for CAS may be effective for preventing distal embolisms, especially for East Asians.
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2014.02.021