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  • Title: Tandem balloon protection during emergency carotid artery stenting of a stenotic ICA lesion with intraluminal thrombus.
    Author: Imai K, Makino M, Niwa F, Takegami T, Koike H, Azuma Y, Oshima F, Oda K, Kakita K.
    Journal: J Endovasc Ther; 2007 Apr; 14(2):214-8. PubMed ID: 17488180.
    Abstract:
    PURPOSE: To report a technique for emergency CAS of a stenotic internal carotid artery (ICA) lesion with an intraluminal thrombus, which predisposes to distal thromboembolism and could aggravate pre-existing neurological symptoms. CASE REPORT: A 77-year-old man with fluctuating stroke underwent successful emergency CAS for an ICA stenosis with intraluminal thrombus using a tandem balloon protection technique featuring proximal balloon blockade and a PercuSurge GuardWire system for distal protection. CONCLUSION: This experience suggests that emergency CAS with tandem balloon protection is a potential treatment for a stenotic lesion with an intraluminal thrombus in patients with fluctuating stroke.
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