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TCAR is a hibryd option for CAS offering the best cerebral protection with reverse flow system engaging the common carotid artery with the contralateral common femoral vein. The Roadster Trial has the best data never published regarding Peri-operative neurological events for a prospective multicentre Trial. The procedure could be perform under local anesthesia with the patient copletely awake.

Dr. Giovanni Tinelli presents a very comprehensive overview regarding the treatment of the vascular trauma of upper limbs. His presentation includes all relevant information about definition and anatomy, classification of the injury, the different types of treatment and tips from his personal experience.

Clinical Summary
- 28 year old male
- Traumatic aortic injury (TAI)
- Endovascular treatment
Complications
- Aortic arch and brachiocephalic trunk dissection
- Right carotid artery and left sublcavian artery occlusion
- Stroke
- Orthostatic Hypotension (Extracranial Steal Syndromes from Disease of the Aortic Branches?)
Surgery Technique
- Femoro-femoral and right axillary artery cannulation
- The aorta was accessed through a Ministernotomy

1. The heart is accessed through a full midline sternotomy
2. An off-pump coronary artery bypass graft is performed on the left anterior descending artery using a saphenous vein graft and 7-0 prolene continuous suture
3. The aorta is partially clamped with a side clamp and is opened through a longitudinal incision, about 2 cm length
4. A prosthesis is sutured onto the aorta with a continuous 4-0 prolene suture
5. One branch of the prosthesis is passed behind the ascending aorta,

This is a recorded case presenting all the important steps of carotid artery stenting (CAS). These steps include the use of transbrachial access, the advancement of the sheath in the common carotid artery, the placement of the Mo.Ma cerebral protection device to remove all sizes of debris and the final procedure of carotid artery stenting. Finally, the interventionalists demonstrate all relevant aspects of intraoperative monitoring by transcranial doppler.

This case report demonstrates the bidirectional endovascular treatment of a severe calcified CTO of the brachiocephalic trunk and the right common carotid artery

This is an overview of the current techniques and devices and the respective level I evidence regarding the endovascular treatment of acute ischemic stroke. Moreover, this presentation includes a case example with all important steps (admission to the hospital > diagnosis > endovascular treatment > recovery) of a 16yr old female patient with an acute ischemic stroke.

This is a recorded case, which demonstrates step by step all relevant technical aspects of a carotid artery endarterectomy with Dacron patchplasty.

This study investigates the 30-day and 12-month outcomes of the Roadsaver carotid stent (Terumo) for the treatment of carotid artery stenosis in symptomatic and asymptomatic patients. Check the rationale of the study, the inclusion and exclusion criteria, the characteristics of the device and the take-home messages of the study.