Vascular stent carotid

Implants for controlled release of drugs (nonbiodegradable) Implantable biosensor-drug delivery system Microfiuidics device for drug delivery Controlled-release microchip Implants that could benefit from local drug release Vascular stents coronary, carotid, and peripheral vascular Ocular implants Dental implants Orthopedic implants... 

Due to the very low event rates in patients with asymptomatic lesions of moderate severity (<60% diameter stenosis), it is unknown whether currently available interventional techniques can improve long-term outcomes over those achievable with optimal medical management. Also unresolved are the indications for carotid stenting in asymptomatic individuals with contralateral carotid occlusion (53) and those undergoing major cardiac or vascular surgery (54). 

Vascular tortuosity predicting adverse events following carotid stenting. (See text for definition.)... 

CARESS Steering Committee (2005). Carotid Revascularization Using Endarterectomy or Stenting Systems (CARESS) phase I clinical trial 1-year results. Journal of Vascular Surgery 42 213-219... 

There are two ongoing prospective clinical randomized trials of CAS versus CEA in low-surgical risk patients in the United States (ACT 1, CREST). The Asymptomatic Carotid Stenosis Stenting versus Endarterectomy Trial (ACT 1, Abbott Vascular) is in the enrollment phase and it will randomize up to 1658... 

FIGURE 9.6 Self-expandable carotid stents (open cell). (A) Acculink (Guidant Corporation, Menlo Park, CA) (B) Exponent (Medtronic Vascular, Santa Rosa, CA) (C) Precise (CORDIS, NJ). (D) Protege (ev3 Inc., Plymouth, Minnesota). 

Capoccia L, Sbarigia E, Speziale F. Monolateral sialadenitis following iodinated contrast media administration for carotid artery stenting. Vascular 2010 18(1) 34-6. 

Atherosclerotic vascular disease is more frequent in elderly patients and may be associated with more tortuous vessel anatomy. Superselective catheterizations of distal cerebral vessels might thus become technically more difficult. Atherosclerotic carotid bifurcation disease is frequently associated in patients with advanced age and might increase the risk of thromboembolic complications. In selected cases, a combined approach, first stenting of the carotid artery stenosis and subsequently coil embolization of the ruptured aneurysm might be a therapeutic option. 

Menna D, Capoccia L, Rizzo AR, Stoarigia E, Speziale F. An atypical case of contrast-induced encephalopathy after carotid artery stenting. Vascular April 2013 21(2) 109-12. 

Btinger, C.M., Grabow, N., Stembeig, K., et al. SiroUmus-eluting biodegradable poly-L-lactide stent for peripheral vascular application a preliminary study in porcine carotid arteries. J. Surg. Res. 139, 77-82 (2007). doi 10.1016/j.jss.2006.07.035... 

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