Intravascular lithotripsy during transcarotid arterial revascularization for highly calcified lesions in high-risk patients.

Autor:	Henry CL; Department of Vascular Surgery, Baylor Scott & White Heart and Vascular Hospital, Dallas, Tex., Hansen SK; Department of Vascular and Endovascular Surgery, Baylor Scott & White Heart Hospital Plano, Plano, Tex., Gable CE; College of Vetenary Medicine and Biomedical Sciences, Texas A&M University, College Station, Tex., Grimsley BR; Department of Vascular Surgery, Baylor Scott & White Heart and Vascular Hospital, Dallas, Tex., Gable DR; Department of Vascular and Endovascular Surgery, Baylor Scott & White Heart Hospital Plano, Plano, Tex.
Jazyk:	angličtina
Zdroj:	Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2020 Nov 05; Vol. 7 (1), pp. 68-73. Date of Electronic Publication: 2020 Nov 05 (Print Publication: 2021).
DOI:	10.1016/j.jvscit.2020.10.018
Abstrakt:	Transcarotid arterial revascularization (TCAR) with flow reversal offers a less invasive option for carotid revascularization in high-risk surgical patients. TCAR has been shown to have similar complication rates for stroke and mortality compared with carotid endarterectomy and lower complication rates compared with transfemoral carotid artery stenting. A relative contraindication for carotid stenting includes heavily calcified lesions. Intravascular lithotripsy has been approved for use in other vascular beds for endovascular treatment of heavily calcified lesions. In the present report, we have demonstrated the application of intravascular lithotripsy for heavily calcified carotid lesions, enabling treatment with TCAR for those who otherwise might be at high risk of transfemoral carotid artery stenting or carotid endarterectomy. (© 2020 The Authors.)
Databáze:	MEDLINE
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