Library

Welcome to the Library of Vascupedia. Use our filters on the left side of the page to quickly find the content of your interest. You may select an area of interest and the respective indication or the media type.

Case report

Endovascular treatment of in-stent restenosis of right ICA using dual layer micromesh Roadsaver stent

This is an interesting and unusual case of in-stent restenosis after CAS.

The patient had been stented on both ICA , left side with dual layer micro mesh stent and right side with an open cell design, Protege, Medtronic.

Restenosis occured on the right side where open cell stent was placed, even though leftside was stented before.

We decided to go for a “stent in stent” solution in order to achieve better result, and Roadsaver stent was chosen for this purpose.

Final result was satisfaying.

 

August 5, 2020 No Comments
Technical note

How to perform Carotid Artery Stenting. Perugia way to do it

Carotid artery stenting is a delicate surgery being sometimes as fast as insidious.

We strongly believe that in order to minimize complications rate an almost obsessive attention to details in each procedural moment is essential.

In this video we report probably the most standardized procedure performed at our institution with 6 operators currently doing each passage exactly the same way.

Of course we don’t claim to show the way it should be done, but just the way we learned to do it after more than 3000 performed cases

August 21, 2019 No Comments
Poll 01/08/2018 – 31/08/2018

Asymptomatic carotid artery disease

Patient’s characteristics

 

Gender: Female

Age: 72 years old

Comorbidity: Arterial hypertension, hypercholesterinemia, previous smoker

Symptoms: None

Previous operations: None

Vascular Imaging of the left internal carotid artery: Duplex ultrasound with peak systolic velocity (PSV)> 230 cm/sec

Recorded video case

Carotid artery stenting with the Mo.Ma™ Ultra proximal cerebral protection device

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.

July 26, 2018 No Comments
Review of the literature

Interventional revolution in treatment of stroke

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.

May 30, 2018 1 Comment
Clinical investigation

The CLEAR-ROAD study: Overview of the results

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.

May 27, 2018 No Comments