Embolic protection devices
Type
Product
FDA approval
CE mark
Distal occlusion balloon
PercuSurge (Medtronic)
X
X
TwinOne (Minvasys)
X
Distal filter
Angioguard (Cordis)
X
X
Accunet (Guidant)
X
X
Spider (ev3)
X
X
FilterWire (Boston)
X
X
Emboshield (Abbott)
X
X
Fibernet (Medtronic Invatec)
X
X
Proximal occluion devices
Gore Flow Reversal Device (GORE)
X
X
MO.MA (Medtronic Invatec)
X
X
Carotid artery stent systems (Table 9.2)
Table 9.2
Carotid artery stent systems
Carotid artery stents | |||
|---|---|---|---|
Stent design | Product | FDA approval | CE mark |
Closed cell—woven | Carotid Wallstent (Boston) | X | X |
Closed cell | Xact (Abbott) | X | X |
Adapt (Boston) | X | ||
Open cell | Acculink (Guidant/Abbott) | X | X |
Precise (Cordis) | X | X | |
Protégé (ev3) | X | X | |
ViVEXX (Bard) | X | ||
Zilver (Cook) | X | ||
Sinus (Optimed) | X | ||
Hybrid | Cristallo Ideale (Medtronic Invatec) | X | |
Dilation balloons (different diameters and different lengths)
Neuro wires (e.g., Taper, Dasher)
Micro catheters (e.g., Fast Tracker, Prowler)
Extended Inventory
Covered stents (e.g., Hemobahn)
Intracranial stents (e.g., Neuroform, Wingspan, Enterprise, Solitaire)
Clot retrieval devices (e.g., Concentric, Merci, Catch, Phenox)
Aspiration devices (e.g., Penumbra)
Coils
12 Outcomes
In 2003, Wholey et al. published a summary of the results of 12,392 carotid stent implantations in a total of 11,243 patients from 53 centers worldwide. The complications during the first 30 days included: TIA (3.1%), minor stroke (2.1%), major stroke (1.2%), and death (0.6%) [3]. In the same year, Cremonesi et al. published a series of 442 consecutive patients treated with carotid stent implantation with embolic protection. Stroke or death occurred within the first month after the procedure in 1.1% of these patients [4
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