Carotid Stenting without Use of Balloon Angioplasty and Distal Protection Devices: Preliminary Experience in 100 Cases
M. Maynara,
S. Baldia,
R. Rostagnoa,
T. Zandera,
M. Rabellinoa,
R. Llorensb,
J. Alvarezd and
F. Barajasc
a Department of Endovascular Therapy, Hospiten Rambla Hospital, Tenerife, Spain
b Department of Cardiac and Vascular Surgery, Hospiten Rambla Hospital, Tenerife, Spain
c Department of Neurology, Hospiten Rambla Hospital, Tenerife, Spain
d Section of Neurosonology, Hospiten Rambla Hospital, Tenerife, Spain
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Fig 1. A, Left common carotid artery digital subtraction angiogram, showing a severe stenosis of the proximal internal carotid artery, measuring more than 90%.
B, Immediate poststenting control with residual stenosis less than 30%.
C, Nonsubtraction image of the immediate poststenting angiogram.
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Fig 2. A, Right CCA DSA, showing a subocclusive stenosis.
B, Immediate poststenting control with residual stenosis less than 50%.
C, Plain film immediately after stent deployment.
D, Final control angiogram with complete expansion of the stent.
E, Plain film at the end of the procedure showing total expansion of the stent.
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Fig 3. A, Left CCA DSA, lateral view, showing a long thigh stenosis of the proximal ICA.
B, Repeat DSA, lateral view, immediately poststenting.
C, Plain film showing residual stenosis <50%.
D, Plain film at the first-month follow-up, showing a complete expansion of the stent.
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Fig 4. Follow-up radiologic results demonstrating the variation in stenotic lumen in the preprocedure and postprocedure angiogram and subsequently in plain films of the stented artery at 1, 3, 6, and 12 months.
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