Carotid Stenosis
Conditions
Keywords
stenting, carotid plaque, stenosis, angioplasty
Brief summary
Stenting is an alternative to traditional surgery in the treatment of carotid stenosis.The intra and/or postprocedural cerebral embolization remains the most frequent complication. Thanks to the systematic use of cerebral protection systems, these complications have reduced.A debate concerning which cerebral protective device should be more effective is still ongoing.
Interventions
The MOMA system is an endovascular catheter for proximal protection during carotid stenting. The system allows a concomitant balloon occlusion of both external and common carotid arteries leading to blood flow reversal within the internal carotid artery.
The filter wire EZ a distal protection system that is placed in he distal internal carotid artery before carotid stenting. The filter should entrap almost all the debries that are generated during endovascular procedure. At the end of the procedure the filter is retrieved throught a dedicated retrieval catheter.
Sponsors
Study design
Eligibility
Inclusion criteria
-patients with monolateral, significant, soft carotid stenosis
Exclusion criteria
* patients with controlateral carotid occlusion * patients with critic stenosis of the external carotid
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of Microembolization signals (MES) detected with transcranal doppler | 6 different phases of carotid stenting (lesion wiring; predilation; stent crossing of the lesion; stent deployment; stent post dilation; device tetruieval/deflation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical success | In hospital and 30 days | Assesment of any clinical and neurological complication (death, any stroke, TIA; myocardial infarction). |
Countries
Italy