Current Status of Carotid Bifurcation Angioplasty and Stenting

by Veith, Frank J.; Amor, Max

• ISBN13: 9780824704957
• ISBN10: 0824704959
• Format: Hardcover
• Copyright: 2001-01-23
• Publisher: Informa Healthc

Summary

A truly novel reference unlike any other! Recognizing the need to dispel the controversy and unsubstantiated claims surrounding many new modalities for treating vascular lesions, this up-to-date and useful reference resolves the most important issues and concerns related to carotid bifurcation angioplasty and stenting (CBAS). Compiles reliable information from a specially convened international conference of 19 recognized experts-with answers of consensus and near consensus on 85% of the key questions about the developing technique of CBAS! Providing valuable guidance on issues of safety and efficacy, the Current Status of Carotid Bifurcation Angioplasty and Stenting covers the differences and outcomes among interventional radiology and cardiology, vascular surgery, and neurosurgery identifies high-risk patients deriving the most benefit from new endovascular treatments critically reviews the state of the art in current applications and procedures advocates the need for, and advantages of, neurorescue skills and cerebral protection in treatment compares the benefits and limitations of carotid endarterectomy with those of carotid stenting presents recent results from actual cases at high-volume centers propounds historical benchmarks, the current status, and future considerations and goals of CBAS and more! Containing over 400 literature references, photographs, drawings, and tables, the Current Status of Carotid Bifurcation Angioplasty and Stenting definitively assists vascular surgeons, interventional radiologists, interventional cardiologists, neurologists and neurosurgeons, internists, primary care physicians, and medical school students in these disciplines.

Author Biography

Nadim Al-Mubarak, M.D. Department of Interventional Cardiology, Lenox Hill Heart and Vascular Institute of New York, New York, New York Max Amor, M.D. Codirector, Cardiovascular Unit, Department of Cardiology, U.C.C.I. Polyclinique d'Essey, Essey-les-Nancy, France Hugh G. Beebe, M.D. Clinical Professor, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, and Director, Jobst Vascular Center, Toledo, Ohio Peter R. F. Bell, M.D., F.R.C.S. Professor, Department of Surgery, University of Leicester, and University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester, England Patrice Frank Bergeron, M.D. Chief, Department of Thoracic and Cardiovascular Surgery, Foundation Hospital Saint Joseph, Marseilles, France Amman Bolia, M.B.Ch.B., D.M.R.D., F.R.C.R. Consultant Interventional Vascular Radiologist, Department of Radiology, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester, England J. J. Connors III, M.D. Director, Interventional Neuroradiology, Radiology Services, Inova Fairfax Hospital, Falls Church, Virginia Edward B. Diethrich, M.D. Medical Director, Arizona Heart Institute and Arizona Heart Hospital, Phoenix, Arizona Gustav R. Eles, D.O., F.A.C.C. Department of Cardiology, Pittsburgh Vascular Institute, University of Pittsburgh Medical Center-Shadyside Hospital, Pittsburgh, Pennsylvania Richard D. Fessler, M.D. Assistant Clinical Professor and Director of Neurovascular Surgery, Department of Neurosurgery, Wayne State University, Detroit, Michigan Lee R. Guterman, M.D., Ph.D. Assistant Professor, Department of Neurosurgery and Toshiba Stroke Research Center, State University of New York at Buffalo, Buffalo, New York Isabelle Henry, M.D. Cardiovascular Unit, Department of Cardiology, U.C.C.I. Polyclinique d'Essey, Essey-les-Nancy, France Michel Henry, M.D. Cardiovascular Unit, Department of Cardiology, U.C.C.I. Polyclinique d'Essey, Essey-les-Nancy, France Robert W. Hobson II, M.D. Professor and Director, Division of Vascular Surgery, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey L. Nelson Hopkins, M.D. Professor and Chairman, Department of Neurosurgery and Toshiba Stroke Research Center, State University of New York at Buffalo, Buffalo, New York Michele Hugel, R.N. Cardiovascular Intervention Unit, Department of Cardiology, U.C.C.I. Polyclinique d'Essey, Essey-les-Nancy, France Sriram S. Iyer, M.D. Interventional Cardiologist and Director of Peripheral Interventions, Lenox Hill Heart and Vascular Institute of New York, New York, New York Chester R. Jarmolowski, M.D. Director, Pittsburgh Vascular Institute, and Department of Diagnostic Imaging, University of Pittsburgh Medical Center-Shadyside Hospital, Pittsburgh, Pennsylvania Barry T. Katzen, M.D., F.A.C.C., F.S.C.V.I.R. Medical Director, Miami Cardiac and Vascular Institute, Miami, Florida Patrick G. Khanoyan, M.D. Cardiologist, Department of Thoracic and Cardiovascular Surgery, Foundation Hospital Saint Joseph, Marseilles, France Christos Klonaris, M.D. Vascular Surgeon, Department of Cardiology, U.C.C.I. Polyclinique d'Essey, Essey-les-Nancy, France Gishel New, M.B., B.S., Ph.D. Director, Clinical Research, Cardiovascular Research Foundation, Department of Interventional Cardiology, Lenox Hill Heart and Vascular Institute of New York, New York, New York Takao Ohki, M.D. Chief of Endovascular Programs, Division of Vascular Surgery, Montefiore Medical Center-Albert Einstein College of Medicine, New York, New York Paul Andre Pietri, M.D. Department of Thoracic and Cardiovascular Surgery, Foundation Hospital Saint Joseph, Marseilles, France Vincent Maurice Louis Piret, M.D. Department of Thoracic and Cardiovascular Surgery, Foundation Hospital Saint Joseph, Marseilles, France Adnan I. Qureshi, M.D. Assistant Professor, Department of Neurosurgery and Toshiba Stroke Research Center, State University of New York at Buffalo, Buffalo, New York Andrew J. Ringer, M.D. Endovascular Fellow, Department of Neurosurgery and Toshiba Stroke Research Center, State University of New York at Buffalo, Buffalo, New York Gary S. Roubin, M.D., Ph.D., F.R.A.C.P., F.A.C.C. Chief, Endovascular Section, Department of Interventional Cardiology, Lenox Hill Heart and Vascular Institute of New York, New York, New York Walter A. Tan, M.D., M.S. Director of Clinical Research and Staff Interventionalist, Departments of Cardiology and Radiology, Pittsburgh Vascular Institute, University of Pittsburgh Medical Center-Shadyside Hospital, Pittsburgh, Pennsylvania Frank J. Veith, M.D., F.A.C.S. Professor and Chief, Vascular Surgical Services, and Vice Chairman, Department of Surgery, Montefiore Medical Center-Albert Einstein College of Medicine, New York, New York Jiri J. Vitek, M.D., Ph.D. Department of Interventional Cardiology, Lenox Hill Heart and Vascular Institute of New York, New York, New York Mark H. Wholey, M.D. Chairman, Pittsburgh Vascular Institute, University of Pittsburgh Medical Center-Shadyside Hospital, Pittsburgh, Pennsylvania Michael H. Wholey, M.D., M.B.A. Chief, Cardiovascular and Interventional Radiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas James Robert Wilentz, M.D. Assistant Professor, Department of Medicine, Albert Einstein College of Medicine-Beth Israel Medical Center, New York, New York Jay S. Yadav, M.D. Department of Cardiology, The Cleveland Clinic Foundation, Cleveland, Ohio

Table of Contents

Preface	iii
Contributors	ix
Introduction	1	(8)
Frank J. Veith
Max Amor
Results of Consensus Questionnaire and Consensus Conference	9	(12)
Frank J. Veith
Max Amor
Defining the High-Risk Carotid Endarterectomy Patient: Implications for Carotid Angioplasty and Stenting Trials	21	(14)
Hugh G. Beebe
Angioplasty and Stenting at the Carotid Bifurcation, Part I	35	(14)
Peter R. F. Bell
Amman Bolia
Angioplasty and Stenting at the Carotid Bifurcation, Part II	49	(20)
Patrice Frank Bergeron
Paul Andre Pietri
Patrick G. Khanoyan
Vincent Maurice Louis Piret
Cervical Carotid Atherosclerotic Stenosis: Two Distinct Conditions	69	(10)
J. J. Connors III
The State of the Art of Carotid Bifurcation Angioplasty and Stenting	79	(16)
Edward B. Diethrich
Endovascular Management of Carotid Artery Stenosis: The Impact of Cerebral Protection	95	(24)
Michel Henry
Max Amor
Christos Klonaris
Isabelle Henry
Michele Hugel
Current Status and Plans for an NIH-Sponsored Clinical Trial of Carotid Bifurcation Angioplasty and Stenting	119	(12)
Robert W. Hobson II
Patient Selection, Complications, and Periprocedural Considerations in Carotid Artery Stenting	131	(22)
Richard D. Fessler
Adnan I. Qureshi
Andrew J. Ringer
Lee R. Guterman
L. Nelson Hopkins
Opinions on Current Applications of Carotid Bifurcation Angioplasty and Stenting	153	(6)
Barry T. Katzen
The Efficacy of Various Protection Devices During Carotid Artery Stenting: The Key to the Maturation of Stenting	159	(20)
Takao Ohki
Frank J. Veith
Carotid Stenting: Results and Current Perspectives from a High-Volume Center	179	(32)
Nadim Al-Mubarak
Gary S. Roubin
Sriram S. Iyer
Jiri J. Vitek
Gishel New
Current Benchmarks and Future Goals in Carotid Angioplasty and Stenting	211	(14)
Walter A. Tan
Michael H. Wholey
Chester R. Jarmolowski
Gustav R. Eles
Mark H. Wholey
Treatment of Carotid Atherosclerotic Disease: Carotid Endarterectomy or Stenting?	225	(10)
Jay S. Yadav
Current Status and Future Considerations in Carotid Bifurcation Angioplasty and Stenting	235	(32)
Max Amor
James Robert Wilentz
Michel Henry
Discussion and Summary	267	(6)
Frank J. Veith
Index	273