Filter protection in contemporary carotid artery stenting: consider limited protection

Jakub Chmiel; Lukasz Tekieli; Adam Mazurek; Lukasz Czyz; Piotr Musialek

doi:10.5114/aic.2024.140842

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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Filter protection in contemporary carotid artery stenting: consider limited protection

Jakub Chmiel

^{1, 2, 3}

,

Lukasz Tekieli

^{1, 2, 4}

,

Adam Mazurek

^{1, 2}

,

Lukasz Czyz

^{1, 2}

,

Piotr Musialek

^{1, 2}

Department of Cardiac and Vascular Diseases, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
St. John Paul II Hospital, Krakow, Poland
Doctoral School of Medical and Health Sciences, Jagiellonian University Medical College, Krakow, Poland
Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland

Adv Interv Cardiol 2024; 20, 2 (76): 213–216

DOI: https://doi.org/10.5114/aic.2024.140842

Online publish date: 2024/06/30

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1. Tekieli L, Dzierwa K, Grunwald IQ, et al. Outcomes in acute carotid-related stroke eligible for mechanical reperfusion: SAFEGUARD-STROKE Registry. J Cardiovasc Surg 2024 [in press].

2. Musialek P, Bonati LH, Bulbulia R, et al. Stroke risk management in carotid atherosclerotic disease: a Clinical Consensus Statement of the ESC Council on Stroke and the ESC Working Group on Aorta and Peripheral Vascular Diseases. Cardiovasc Res 2023 Aug 25:cvad135. doi: 10.1093/cvr/cvad135.

3. Musialek P, Rosenfield K, Siddiqui A, et al. Carotid stenosis and stroke: medicines, stents, surgery – “wait-and-see” or protect? Thromb Haemost 2024 [in press].

4. Bonati LH, Jongen LM, Haller S, et al. New ischaemic brain lesions on MRI after stenting or endarterectomy for symptomatic carotid stenosis: a substudy of the International Carotid Stenting Study (ICSS). Lancet Neurol 2010; 9: 353-62.

5. Musialek P, de Donato G. Carotid artery revascularization using the endovascular route. In: Peripheral Interventions – Practical Guide. Edizioni Minerva Medica, Turin 2023; 142-72.

6. de Waard DD, Halliday A, de Borst GJ, et al. Choices of stent and cerebral protection in the ongoing ACST-2 trial: a descriptive study. Eur J Vasc Endovasc Surg 2017; 53: 617-25.

7. Musialek P. Proximal embolic protection with the Mo.Ma ultra device: a “must know how” for competent carotid artery stenting. Endovasc Today 2024; 23: 30-2.

8. Nikas D, Reith W, Schmidt A, et al. Prospective, multicenter European study of the GORE flow reversal system for providing neuroprotection during carotid artery stenting. Catheter Cardiovasc Interv 2012; 80: 1060-8.

9. Trystula M, Musialek P. Transient flow reversal combined with sustained embolic prevention in transcervical revascularization of symptomatic and highly-emboligenic carotid stenoses for optimized endovascular lumen reconstruction and improved peri- and post-procedural outcomes. Adv Interv Cardiol 2020; 16: 495-506.

10. Trystula M, Van Herzele I, Kolvenbach R, et al. Next-generation transcarotid artery revascularization: TransCarotid flOw Reversal Cerebral Protection And CGUARD MicroNET-Covered Embolic Prevention Stent System To Reduce Strokes – TOPGUARD Study. J Cardiovasc Surg 2024 [in press]

11. Lehmann MF, Musialek P. MicroNET-covered stent use to seal carotid artery perforation. Adv Interv Cardiol 2023; 19: 284-8.

12. Tekieli L, Mazurek A, Pieniazek P, et al. Symptomatic atherosclerotic plaque progression in a first-generation carotid stent: management and 5-year clinical and imaging outcome – a case report. Eur Heart J Case Rep 2021; 6: ytab489.

13. Musialek P, Capoccia L, Alvarez CA, et al. Carotid artery endovascular reconstruction using micronet-covered stents in patients with symptoms or signs of cerebral ischemia (CGuard OPTIMA Trial Investigators; OPtimal sequestration of high-risk carotid lesions with effecTive lumen reconstruction usIng MicroNet–covered stents And the endovascular route, NCT04234854). TCT Featured Research [Internet]. Available from: https://d18mqtxkrsjgmh.cloudfront.net/public/2022-09/a355a7ab-6d71-44de-8ecf-6712bd763300.pdf (accessed 21.05.2024).

14. Karpenko A, Bugurov S, Ignatenko P, et al. Randomized controlled trial of conventional versus MicroNet-covered stent in carotid artery revascularization. JACC Cardiovasc Interv 2021; 14: 2377-87.

15. Musialek P, Langhoff R, Stefanini M, et al. Carotid stent as cerebral protector: the arrival of Godot. J Cardiovasc Surg 2023; 64: 555-60.

Copyright: © 2024 Termedia Sp. z o. o. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

Filter protection in contemporary carotid artery stenting: consider limited protection

Jakub Chmiel 1, 2, 3 , Lukasz Tekieli 1, 2, 4 , Adam Mazurek 1, 2 , Lukasz Czyz 1, 2 , Piotr Musialek 1, 2

Jakub Chmiel

^{1, 2, 3}

,

Lukasz Tekieli

^{1, 2, 4}

,

Adam Mazurek

^{1, 2}

,

Lukasz Czyz

^{1, 2}

,

Piotr Musialek

^{1, 2}