The Carotid and Supra-Aortic Trunks provides interventional cardiologists, both as beginners or fully experienced, with a reference on all aspects of angioplasty and stenting of the carotid and supra-aortic trunks.

Focusing on both the entire range of angioplasty and stenting treatment options for the surgeon treating patients on the operating table, and the range of radiological techniques used for the cardiologist to diagnose carotid artery stenosis (CAS) and associated conditions, this important book describes the best indications, the different techniques, the results, and also the limitations of CAS based on randomized studies and particularly the last published data (CREST study). It also addresses diagnosis of a carotid stenosis and complications from CAS and how to manage them.

Contents

Part 1: Epidemiology, Anatomy and Imaging

1. Epidemiology and pathophysiology of carotid artery disease
2. Neuroanatomy
3. The Value Of Computed Tomography And Magnetic Resonance Imaging
4. Diagnosis of carotid stenosis by DUS
5. Transcranial Doppler
6. Carotid Plaque Characterization Using Ultrasound
7. Methods For Evaluation Of A Carotid Stenosis
8. The Role Of Intravascular Ultrasound In Carotid Angioplasty And Stenting
9. Cerebral Perfusion Imaging

Part 2: Clinical Assessment

10. Neurological And Neuropsychological Evaluation Before And After Carotid Angioplasty And Stenting
11. Cardiac Assessment in Patients With Carotid Artery Disease

Part 3: Carotid Artery Stenosis – Medical Treatment

12. Carotid Stenosis: Medical Treatment
13. Periprocedural Management Of A Patient Undergoing A Carotid Intervention

Part 4: Carotid Artery Stenosis: Surgical Treatments

14. Carotid Surgery : Updates, Techniques And Results
15. Is Carotid Surgery Still The Gold Standard In Carotid Intervention?
16. Which Patients Should Be Referred For CEA And Not CAS: High-Risk Re-Visited

Part 5: Indications For Carotid Angioplasty And Stenting (CAS)

17. Indications And Contraindications For CAS In Symptomatic Patients
18. Indications And Contraindications For Carotid Artery Stenting In Asymptomatic Patients
19. Managing Carotid Anatomical Adversity
20. Management Of Concomittant Coronary And Carotid Disease

Part 6: Caritud Angioplasty and Stenting: Techniques

21. The Equipment Required For CAS – Tips And Tricks
22. Evolution In Carotid Stenting With Cerebral Protection
23. Embolic Protection Devices – Choice Of Epd
24. Carotid Angioplasty Under Protection Limitations. Dark Side: How To Avoid Complications
25. Basic Techniques Of CAS
26. Managing Carotid Anatomical Adversity
27. Choice of the Stent: Does the Type of Stent Influence the Outcome of CAS
28. Indications For Covered Stents
29. Complication Avoidance And Management In Cervical Carotid Revascularization
30. Endovascular Recanalization Of Chronic Carotid Artery Occlusion
31. Interventional Treatment of Carotid Artery Dissection – Role of Endovascular Technology
32. Carotid Artery Stent Restenosis
33. Instent Restenoses After CAS: Incidence And Management

Part 7: Carotid Angioplasty and Stenting: Clinical Results

34. Does The Learning Curve Influence The Outcome Of CAS?
35. Critical Reviews Of Randomized Studies And Registries Part 1
36. Critical Reviews Of Randomized Studies And Registries Part 2
37. CREST Study
38. CAS Under Protection – Results With The Percusurge Guard Wire Device
39. CAS Under Protection – Results With Different Filters
40. CAS under Protection – Results with the Mo.Ma™ Device
41. Cerebral protection using Flow Reversal
42. New Distal Embolic Protection Device The Fibernet® 3 Dimensional Filter
43. How To Follow A Patient After CAS?

Part 8: Intracranial Endovascular Therapy

44. How To Develop A Stroke Program
45. Elective Endovascular Revascularization Of The Intracranial Cerebral Arteries
46. Endovascular Therapy For Acute Stroke
47. Intracranial Aneurysm: Current and Future Minimally invasive Endovascular Treatment Methods
48. Intracranial Vertebral Angioplasty And Stenting

Part 9: Other Supra-Aortic Occlusive Arterial Diseases: Endovascular Treatment

49. Percutaneous Transluminal Angioplasty Of The Subclavian Arteries
50. Percutaneous Transluminal Angioplasty And Stenting Of Extracranial Vertebral Artery Stenosis
51. Inflammatory Arteritis In Supra-Aortic Vessels – Endovascular Treatment
52. Extracranial Carotid Aneurysm: Interventional Treatment
53. Balloon Angioplasty And Stent Placement In The Common Carotid Artery

Part 10: Future of Carotid Stenting

54. The Future Of Carotid Stenting

Index

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