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Abstract
Patient selection is of the utmost importance with all endovascular procedures. It is equally important to select the appropriate protection device during carotid angioplasty/stenting (CAS).
CAS in two patients was unsuccessful due to the chosen protection device. Occlusion of the external carotid artery while deploying a Parodi Anti-Embolic-System Device (PAeC®-ArteriA) resulted in cerebral ischaemia. Conversion to the Angioguard® System (Cordis) made carotid angioplasty possible, but was complicated by thrombosis of the filter. In the second case it was impossible to negotiate tortuous vessels with the Angioguard® system.
Our experience illustrates that both devices have limitations. Choosing the wrong device may have serious consequences.
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T. Hendrickx
T. Hendrickx Royal Devon and Exeter Hospital Residential Village-3, Barnes House Bovemoors Lane Exeter EX2 5DS united Kingdom