• Carotid reconstruction cannot be performed in some patients, particularly individuals with the internal carotid artery resected close to the skull base, where sewing a vascular graft to the distal stump may not be feasible. (medscape.com)
  • In one series, 22 patients were treated by placing 2 permanent balloons just proximal to the ophthalmic artery and embolizing the internal carotid artery (ICA) down to the level of the carotid bifurcation with liquid biological adhesive (Histoacryl). (medscape.com)
  • Management of acute symptomatic internal carotid artery (ICA) occlusion remains controversial. (ajnr.org)
  • Compared with studies regarding the effect of middle cerebral artery (MCA) occlusion, 1 there have only been a few studies regarding the efficacy of revascularization in patients with symptomatic acute internal carotid artery (ICA) occlusion. (ajnr.org)
  • The guttural pouches house cranial nerves IX, X, XI, XII, the cranial cervical ganglion, cervical sympathetic trunk, internal carotid artery, as well as the external carotid artery and its caudal auricular, superficial temporal and maxillary artery branches (5). (acvr.org)
  • Bleeding is reported most commonly from the internal carotid artery and less commonly the external carotid and maxillary arteries (4). (acvr.org)
  • If the internal carotid artery is affected, occlusion of artery at the level of the lesion alone is insufficient to prevent all possible hemorrhage. (acvr.org)
  • Blood flow through the non-affected contralateral internal carotid artery into the cerebral arterial circle will maintain pressure in the affected artery, and can allow retrograde blood flow and continued hemorrhage (5). (acvr.org)
  • We present a case of a giant internal carotid artery terminus aneurysm treated with flow diversion that progressively and symptomatically enlarged despite a reduction in the filling portion. (mcmaster.ca)
  • Plaques at left anterior descending artery and borderline lesion ostial Circumflex artery. (hindawi.com)
  • There were plaques at LAD and %50 stenosis at proximal Circumflex arteries, the lesions were considered to be insignificant (Figure 1 ), and the patient had woven RCA (Figures 2 and 3 ). (hindawi.com)
  • Relationship between regional myocardial blood flow and thallium-201 distribution in the presence of coronary artery stenosis and dipyridamole-induced vasodilation. (jci.org)
  • This study assesses the relationship between the distribution of thallium-201 and myocardial blood flow during coronary vasodilation induced by intravenous dipyridamole in canine models of partial and complete coronary artery stenosis. (jci.org)
  • The aim of this study was to investigate the longterm outcomes and factors that predict outcomes in patients with TA with renal artery stenosis. (jrheum.org)
  • Chronic inflammation in the vessel wall can lead to stenosis or occlusion, eventually causing tissue ischemia and organ damage. (jrheum.org)
  • Further, relatively little is known about longterm clinical outcomes, such as chronic renal insufficiency and death, in TA patients with renal artery stenosis. (jrheum.org)
  • Therefore, outcomes in patients with TA-associated renal artery stenosis have not been evaluated independent of revascularization procedures. (jrheum.org)
  • The NC Emerge OTW and NC Emerge MR PTCA Dilatation Catheters are indicated for the balloon catheter dilatation of the stenotic portion of a native coronary artery or bypass graft stenosis for the purpose of improving myocardial perfusion in patients with atherosclerosis. (bostonscientific.com)
  • Coronary artery spasm in the absence of a significant stenosis. (bostonscientific.com)
  • To reduce the potential for vessel damage, the inflated diameter of the balloon should approximate the diameter of the vessel just proximal and distal to the stenosis. (bostonscientific.com)
  • This angiogram shows a superficial femoral artery occlusion on one side (with reconstitution of the suprageniculate popliteal artery) and superficial femoral artery stenosis on the other side. (medscape.com)
  • The clinical manifestations reflect the arteries involved and most commonly include hypertension caused by renal-artery stenosis (RAS) or strokes from carotid artery disease. (medscape.com)
  • CTA with maximum intensity projection (MIP) and quantitative measurement of stenosis is an accurate noninvasive technique for diagnosing fibromuscular dysplasia/stenosis of the visceral arteries, regardless of the etiology. (medscape.com)
  • Subsequent stent restenosis or occlusion may require repeat catheter-based treatments (including balloon dilatation) of the arterial segment containing the stent. (medtronic.com)
  • Care should be taken to control the position of the guide catheter tip during stent delivery, deployment, and balloon withdrawal. (medtronic.com)
  • The recanalization was performed by passing with hydrophilic guidewire and catheter through the occlusion,and then performing balloon angioplasty. (medscimonit.com)
  • Techniques include passage of a temporary balloon catheter past the lesion and placement of a permanent ligature at the lesion (2,4,5), as well as transarterial coil embolization via fluoroscopic guidance (4,5). (acvr.org)
  • He underwent a laparoscopic en bloc splenic artery aneurysm resection with splenectomy and distal pancreatectomy with the use of pre-operative prophylactic balloon catheter aneurysm occlusion. (sages.org)
  • The imaging physician will direct this catheter through your arteries until it reaches the artery which will be tested. (cedars-sinai.org)
  • Once the position has been determined, the balloon will be inserted through the catheter and inflated, blocking the flow of blood. (cedars-sinai.org)
  • One of the most common methods to unblock thrombosed artery nowadays is to use a so-called Fogarty catheter (wire with an inflatable balloon at the tip), to surgically bypass the obstruction, or to amputate. (medgadget.com)
  • REBOA involves inserting a balloon catheter through the femoral artery and advancing it to the aorta, where the balloon is typically inflated under fluoroscopic guidance in specific zones (see below) depending on the type of injury (Figure 1 and Table 1). (openanesthesia.org)
  • The thrombolytic agent is infused through orifices in the inner catheter in the region between the two balloons. (justia.com)
  • One of the most common applications for catheter systems is the treatment of occlusions within the cardiovascular system. (justia.com)
  • all describe catheter systems designed to infuse a liquid for the treatment of an arterial occlusion. (justia.com)
  • Because each of the balloons is located at the distal end of a different one of two concentric catheters and the inner catheter is slidable with respect to the outer catheter, adjustment of the interballoon distance and, therefore, the size of the isolated treatment zone is easily accomplished. (justia.com)
  • Do not advance or retract the catheter unless the balloon is fully deflated under vacuum. (bostonscientific.com)
  • Before withdrawing the balloon catheter, visually confirm complete balloon deflation by fluoroscopy. (bostonscientific.com)
  • Balloon catheter retrieval methods (use of additional wires, snares, and/or forceps) may result in trauma to the treated vessel and/or the vascular access site. (bostonscientific.com)
  • The balloon catheter should be used only by physicians trained in the performance of percutaneous transluminal coronary angioplasty. (bostonscientific.com)
  • The safety and effectiveness of this PTCA balloon catheter for the treatment of in-stent restenosis (ISR) has not been established. (bostonscientific.com)
  • Before insertion of the balloon catheter, administer appropriate anticoagulant and coronary vasodilator therapy. (bostonscientific.com)
  • Pulmonary Artery Catheter. (msdmanuals.com)
  • Use of a pulmonary artery catheter (PAC, or Swan-Ganz catheter) is becoming less common in ICU patients. (msdmanuals.com)
  • This balloon-tipped, flow-directed catheter is inserted via central veins through the right side of the heart into the pulmonary artery. (msdmanuals.com)
  • The US FDA has approved the first drug-coated balloon (DCB) for the treatment of peripheral arterial vascular disease, the Lutonix 035 Drug Coated Balloon Percutaneous Transluminal Angioplasty Catheter (Lutonix DCB). (medscape.com)
  • Univariate analysis revealed that proximal level of balloon occlusion, intratumoral lower CT values immediately after treatment and BO-CTHA findings were significantly correlated with poor TE (p = 0.034, 0.037, and 0.003, respectively). (springeropen.com)
  • The method involves angiographic placement of permanent balloons or coils in the carotid siphon region proximal to the ophthalmic artery. (medscape.com)
  • This simple and effective technique should be kept in mind during stroke procedures where a proximal stenotic obstacle complicates access to the site of occlusion. (bmj.com)
  • 10 dogs were chronically instrumented with catheters in the left atrium and aorta and with a balloon occluder and electromagnetic flow probe on the proximal left circumflex coronary artery. (jci.org)
  • A randomized porcine study of hemorrhagic shock comparing end-tidal carbon dioxide targeted and proximal systolic blood pressure targeted partial resuscitative endovascular balloon occlusion of the aorta in the mitigation of metabolic injury. (oru.se)
  • Notably, these responses are most apparent with more proximal zone I occlusion vs. zone III occlusion. (openanesthesia.org)
  • Inflating the two balloons occludes the body passage way both proximal and distal to the treatment area, thus isolating it from fluid contact with the rest of the body. (justia.com)
  • In treating a particular area within a body passage way, it is often desirable to isolate the treatment area from the rest of the body through the use of one or more balloons which may be inflated proximal and/or distal to the treatment area. (justia.com)
  • of these patients, 37 had carotid artery aneurysms below the origin of the ophthalmic artery, 21 had aneurysms arising from the supraclinoid portion of the carotid artery, six had basilar trunk aneurysms, and one had a distal vertebral aneurysm. (thejns.org)
  • Successful recanalization (at or more than grade 2 distal residual occlusion) was obtained in 14 (42%) of 33 and good recovery (mRS ≤2) after 1 year in 11 (33%) of 33. (ajnr.org)
  • Right coronary artery and WCA after first distal stent implantation. (hindawi.com)
  • Conclusion: Laparoscopic distal pancreatectomy with splenectomy is an appropriate minimally invasive option for the treatment of splenic artery aneurysms. (sages.org)
  • This video demonstrates the technical challenges and management options for successfully completing a distal pancreatectomy and splenectomy in the face of a splenic artery aneurysm. (sages.org)
  • A coronary angiogram revealed total occlusion of the mid-left anterior descending (LAD) artery and a filling defect of the distal right coronary artery. (iasp-pain.org)
  • Each of the catheters has an inflatable balloon at its distal tip. (justia.com)
  • Percutaneous balloon pulmonary angioplasty, another interventional therapy, has re-emerged in the last few years as a clear alternative for the management of patients with distal, inoperable, chronic thromboembolic pulmonary hypertension. (revespcardiol.org)
  • This 52-year-old man presented with pain in the left upper quadrant and was found to have a 3.2-cm aneurysm of the distal splenic artery. (medscape.com)
  • However, studies on aneurysm occlusion, recurrence, and procedural complication rates of SAC treatment for ruptured tiny intracranial aneurysms were limited and heterogeneous ( 9 , 10 ). (frontiersin.org)
  • Incomplete aneurysm occlusion following flow diversion has been reported, but mechanisms and predisposing factors are speculative and definitive solutions have not been described. (mcmaster.ca)
  • Herein, we report a case of WCA in right coronary artery (RCA) successfully managed with percutaneous coronary intervention (PCI) after abnormal myocardial perfusion scintigraphy. (hindawi.com)
  • Woven coronary artery anomaly at the midsegment of the right coronary artery. (hindawi.com)
  • Right coronary artery and TIMI III flow after floppy guidewires. (hindawi.com)
  • None of the 22 patients had an immediate complication from the permanent occlusion, although 2 patients developed progressive hemiplegia that began 24 hours later. (medscape.com)
  • Herein we report a case with right woven coronary artery managed with drug-eluted stent implantation without complication. (hindawi.com)
  • PTCA should only be performed at hospitals where emergency coronary artery bypass graft surgery can be quickly performed in the event of a potentially injurious or life-threatening complication. (bostonscientific.com)
  • Of the 65 patients in whom permanent occlusion was effected by detachable balloon, there were nine instances of delayed cerebral events. (thejns.org)
  • In an early study of this technique, all 8 patients who underwent preoperative permanent occlusion tolerated it without sequelae. (medscape.com)
  • 16 In addition, the management of patients with acute symptomatic carotid artery occlusion remains controversial, though the angiographic finding of ICA occlusion reveals a spectrum of ICA occlusions, as well as a tandem lesion in the intracranial artery in addition to the level (below or above the ophthalmic artery) and type (atherosclerotic or embolic) of lesion. (ajnr.org)
  • Collateral filling of the intradural (antegrade filling) or cavernous (retrograde filling) segment of the ICA through the ophthalmic artery was considered to have collaterals via the ophthalmic artery ( Fig 2 ). (ajnr.org)
  • To clarify the hemodynamic changes under balloon occlusion of the hepatic artery and to identify predictors of the short-term therapeutic effect (TE) after balloon-occluded transcatheter arterial chemoembolization using miriplatin (B-TACE) for hepatocellular carcinoma (HCC). (springeropen.com)
  • The aim of the present study was to reveal the relationship between changes of arterial flow in HCC nodules under balloon occlusion and local TE by means of CTHA. (springeropen.com)
  • Intra-arterial thrombolysis was not provisionally applied in any case.Results: 56 arteries were recanalized, 2 intravascular procedures were not successful. (medscimonit.com)
  • Current alternatives to treat refractory total occlusions common in advanced arterial disease are limited, and "treatment" often is amputation. (medgadget.com)
  • Subsequent angiography confirmed occlusion at the hepatic arterial anastomosis. (medscape.com)
  • An upper extremity arterial line must be inserted as soon as possible to help monitor hemodynamics associated with balloon inflation. (openanesthesia.org)
  • Inflation of the balloon may result in a dramatic increase in mean arterial pressures. (openanesthesia.org)
  • A pesar de los avances en el tratamiento farmacológico de la hipertensión pulmonar, en particular de la hipertensión arterial pulmonar (HAP), sigue siendo una enfermedad mortal. (revespcardiol.org)
  • We report on the preoperative embolization of a carotid-body paraganglioma by temporary balloon occlusion and ethanol injection. (nih.gov)
  • The first suitable treatment is the endovascular approach with embolization of the inferior mesenteric artery (IMA) or lumbar arteries. (intechopen.com)
  • Follow up- The patient in this study underwent transarterial embolization of the right maxillary and external carotid arteries. (acvr.org)
  • The success of balloon embolization has been tempered by the associated complications of deflation and aneurysmal rupture. (medscape.com)
  • This case report describes resuscitative endovascular balloon occlusion (REBOA) of the aorta in a patient with life-threatening iatrogenic bleeding of the right common iliac artery during elective dorsal lumbar spine surgery. (frontiersin.org)
  • Resuscitative endovascular balloon occlusion of the aorta is an emergency procedure to control life-threatening hemorrhage. (frontiersin.org)
  • Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergency procedure for temporary intra-aortic balloon occlusion being increasingly reported and published since its inauguration by Hughes ( 1 ). (frontiersin.org)
  • mean age, 66 years) with: 1) acute symptomatic ICA occlusion within 6 hours of symptom onset or with mismatch of symptoms and an early infarct area, 2) National Institutes of Health Stroke Scale (NIHSS) score of 6 or more, and 3) attempted endovascular revascularization of the occluded ICA. (ajnr.org)
  • Material/Methods: In 58 patients (mean age 59 years), percutaneous endovascular recanalization of 40 common and 18 external iliac arteries was performed. (medscimonit.com)
  • none of them required surgical intervention.Conclusions: Percutaneous endovascular recanalization is an efficient method of treatment in occlusion of iliac arteries. (medscimonit.com)
  • A porcine study of ultrasound-guided versus fluoroscopy-guided placement of endovascular balloons in the inferior vena cava (REBOVC) and the aorta (REBOA). (oru.se)
  • BACKGROUND: The aim of this study was to report the results of a multicenter experience on the use of adjunctive stents deployed inside abdominal aortic endografts with the purpose to prevent or treat limb occlusion after endovascular aneurysm repair (EVAR). (minervamedica.it)
  • Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a tool to temporarily halt exsanguination in trauma patients with noncompressible torso or pelvic injuries. (openanesthesia.org)
  • Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. (openanesthesia.org)
  • The Tack Endovascular System™ has been designed: 1) to leave minimal foreign material in the artery, 2) to apply only the minimum outward force required to reestablish tissue apposition within the lumen, and 3) to allow "spot" treatment only where needed. (higcapital.com)
  • The Tack Endovascular System™ is designed to optimize balloon angioplasty results in the treatment of peripheral artery disease. (higcapital.com)
  • For patients in whom medical and exercise therapy fail or those who have claudication symptoms that are lifestyle-limiting, surgical treatment includes either open bypass surgery or endovascular therapy (eg, stents, balloons, or atherectomy devices). (medscape.com)
  • Simultaneously, previous studies indicated that the stent-assisted coiling (SAC) technique was associated with a higher complete occlusion rate and lower recurrence rate at follow-up compared with coiling alone (CA) in ruptured intracranial aneurysms ( 7 , 8 ). (frontiersin.org)
  • Most aneurysms occur at bifurcations of the intracranial arteries, and the location with the most branch points is the circle of Willis. (medscape.com)
  • A-5: Digital subtraction angiogram obtained during balloon angioplasty of a stenotic artery. (medscape.com)
  • [ 1 , 2 ] The device is coated with paclitaxel and intended for use to treat stenotic or obstructive lesions in the femoropopliteal arteries to improve limb perfusion. (medscape.com)
  • The angiographic follow-up outcomes showed that the SAC group had a higher complete occlusion rate and lower recurrence rate (88.2 vs. 67.1%, 5.4 vs. 15.2%, P = 0.001). (frontiersin.org)
  • For subgroup analysis, LVIS stents were associated with a significantly higher rate of complete occlusion ( P = 0.014) and a lower rate of intraprocedural rupture ( p = 0.021). (frontiersin.org)
  • Magnetic resonance angiogram of the recipient celiac axis depicts complete occlusion of the hepatic artery. (medscape.com)
  • Of 67 patients who underwent a formal occlusion test, eight with carotid artery aneurysms did not initially tolerate the occlusion test, and ischemic signs disappeared instantaneously with deflation and removal of the balloon. (thejns.org)
  • Introduction: Large splenic artery aneurysms are rare, but comprise 60% of all visceral artery aneurysms. (sages.org)
  • The Resolute Integrity Zotarolimus-Eluting Coronary Stent System is indicated for improving coronary luminal diameters in patients, including those with diabetes mellitus, with symptomatic ischemic heart disease due to de novo lesions of length ≤ 27 mm in native coronary arteries with reference vessel diameters of 2.25 mm to 4.20 mm. (medtronic.com)
  • The Advanta V12/iCast studies treated patients with more severe disease (a greater number of TASC C & D lesions) and more severe symptoms (more Rutherford classification 4 & 5) compared to patients enrolled in clinical trials studying other covered balloon-expandable stents. (getinge.com)
  • In addition, the Onyx Frontier™ zotarolimus-eluting coronary stent system is indicated for treating de novo chronic total occlusions and non-left main bifurcation lesions utilizing the provisional bifurcation stenting technique. (medtronic.com)
  • Bilateral lesions and renal functional impairment at presentation, but not implementation of revascularization procedures, were significant factors for outcomes in TA patients with renal artery involvement. (jrheum.org)
  • Revascularization procedures, including balloon angioplasty with or without stenting, are often used for the treatment of steno-occlusive lesions 6 , 7 , 8 . (jrheum.org)
  • In this case, the lesions involve the main right renal artery and the right accessory renal artery in a 37-year-old man with difficult-to-control hypertension. (medscape.com)
  • The prognosis for patients with acute progressive stroke caused by carotid occlusion is known to be poor, with only 2%-12% good recovery. (ajnr.org)
  • Advanta V12 is the first to market balloon expandable, fully encapsulated stent that has served more than 850,000 patients. (getinge.com)
  • The aim of this retrospective multicentric study was to compare the tumour response rates of Balloon-occluded Transarterial Chemoembolisation (B-TACE) to non-B-TACE using propensity score matching (PSM) in patients with hepatocellular carcinoma and to investigate the clinical benefit, such as lower rates of TACE re-intervention achieved using B-TACE. (springer.com)
  • When resection of the carotid artery as part of a cancer surgery is considered, preoperative evaluation can identify which patients are at greatest risk of neurologic sequelae, and carotid reconstruction must be considered whenever possible to decrease the risk of such complications. (medscape.com)
  • Other operative considerations include attention to the possibility of preserving the external carotid artery, which often requires resection in patients with head and neck cancer. (medscape.com)
  • We evaluated outcome predictors of a good recovery in patients with acute symptomatic ICA occlusion. (ajnr.org)
  • Active revascularization of acute symptomatic ICA occlusion resulted in good recovery in one third of patients after 1 year. (ajnr.org)
  • ICA occlusion of intravenous thrombolysis trials in patients with acute stroke have been based on the CT exclusion of hemorrhage 9 and on CT parenchymal evaluation 10 , 11 but have not pursued the exact cause or the level of occlusion. (ajnr.org)
  • With a 95% limb salvage rate* among survivors, the new CLiRpath system gives your CLI patients with total occlusions not crossable by a guidewire, a viable alternative in the fight against amputation. (medgadget.com)
  • The American Association for the Surgery of Trauma's Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry recently compared the effectiveness of REBOA to open aortic occlusion (AO) in 114 patients across 8 trauma centers. (openanesthesia.org)
  • Of the 62 TA patients with renal artery involvement, 11 (17.7%) underwent renal artery revascularization. (jrheum.org)
  • Up to 60% of patients with TA have renal artery involvement, often resulting in refractory hypertension (HTN) and impaired renal function 4 , 5 , 6 . (jrheum.org)
  • Therefore, our study analyzed longterm outcomes and clinical variables associated with poor outcomes (e.g., refractory HTN, chronic renal insufficiency, or death) in all patients with TA-associated renal artery involvement, regardless of whether they underwent revascularization procedures. (jrheum.org)
  • Patients were excluded from the analysis if imaging evaluation of renal artery involvement was not available. (jrheum.org)
  • Critical Limb Ischemia (CLI) is an advanced stage of peripheral artery disease in which patients suffer from inadequate blood flow to the lower leg and foot. (higcapital.com)
  • PTCA in patients who are not acceptable candidates for coronary artery bypass graft surgery requires careful consideration, including possible hemodynamic support during PTCA as treatment of this patient population carries special risk. (bostonscientific.com)
  • Another 44% of patients had a mean sinus of Valsalva diameter greater than 30 mm and only about half of the occlusions involved implantation depths considered high. (medscape.com)
  • Second, patients may be relatively protected from the symptoms of coronary obstruction if they've had a prior coronary artery bypass graft , so we need to have a lower threshold for imaging the coronary system post-TAVR. (medscape.com)
  • In the last decade, computer simulations of hepatic artery hemodynamics during RE have been performed with the aim of better understanding and improving the therapy. (unav.edu)
  • The differential diagnosis should include recanalized thrombus, spontaneous coronary artery dissection, and bridging collaterals [ 3 , 4 ]. (hindawi.com)
  • The balloon partially or completely occludes the aorta. (openanesthesia.org)
  • Takayasu arteritis (TA) is a chronic, large vessel vasculitis that primarily affects the aorta and its main branches, including the renal artery 1 , 2 . (jrheum.org)
  • The use of this product carries the same risks associated with coronary artery stent implantation procedures, which include subacute and late vessel thrombosis, vascular complications and/or bleeding events. (medtronic.com)
  • Acute myocardial infarction following sequential multi-vessel occlusion in a case of polycythemia vera. (iasp-pain.org)
  • Do not expand the balloon if it is not properly positioned in the vessel. (bostonscientific.com)
  • This initial approach, which attempted to achieve parent vessel occlusion using latex balloons, was moderately successful in a limited subset of cases. (medscape.com)
  • Due to the splenic vein occlusion there were large collateral vessels complicating the dissection. (sages.org)
  • However, post-angioplasty dissection often occurs at the treatment site, which increases the risk of thrombotic occlusion. (higcapital.com)
  • There are 800,000 Chronic Total Occlusions (CTO) per year in the USA. (wikipedia.org)
  • Crosser™ CTO Recanalization Catheters utilize high frequency, mechanical vibration to cross chronic total occlusions (CTOs) intraluminally allowing for subsequent balloon angioplasty and/or stent placement. (bd.com)
  • Crosser™ CTO Catheters facilitate intraluminal placement of conventional guidewires beyond peripheral artery chronic total occlusions via atherectomy. (bd.com)
  • I have an interest in complex coronary intervention, chronic total occlusions (chronically blocked arteries), and radial intervention (procedures via the wrist rather than the leg). (spirehealthcare.com)
  • Resection after a short postembolization interval required artery sacrifice. (nih.gov)
  • Carotid resection is delayed by 2 weeks to allow for fixation of the coils and to avoid adverse hemodynamic effects from surgery during the vulnerable period immediately following occlusion. (medscape.com)
  • With division of the bronchus, the en bloc resection is complete, and the tissue is removed from the chest. (bcm.edu)
  • Medicare covers PTA of the carotid artery concurrent with the placement of an FDA-approved carotid stent and an FDA-approved or cleared embolic protection device for an FDA-approved indication when furnished in accordance with FDA-approved protocols governing post-approval studies. (cms.gov)
  • Coverage is limited to procedures performed using FDA-approved carotid artery stenting systems and FDA-approved or cleared embolic protection devices. (cms.gov)
  • We have decided to make no changes in coverage of patient groups for percutaneous transluminal angioplasty (PTA) of the carotid artery concurrent with stenting (Medicare NCD Manual 20.7B3 and B). We have decided to retain our existing coverage policy with a slight revision to the language regarding embolic protection devices. (cms.gov)
  • REBOA is an emergency procedure for temporary intra-aortic balloon occlusion being increasingly reported and published since its inauguration in 1954. (frontiersin.org)
  • He is leading various project on tools for bleeding management and resuscitation, as well as heading up research and clinical practice on aortic balloon occlusion (REBOA). (oru.se)
  • Anesthesiologists may play a critical role during the deflation phase of the REBOA balloon. (openanesthesia.org)
  • Debulking with CLiRpath prior to balloon angioplasty transforms total occlusions not crossable by a guidewire and diffuse multilevel disease into more easily ballooned stenoses. (medgadget.com)
  • 1.5/15 mm chronic total occlusion angioplasty balloon was used to reach lesion. (hindawi.com)
  • After dilatation, two 2.5/28 mm everolimus-eluted stents were implanted to the anomalous portion after balloon dilatation (Figures 6 and 7 ). (hindawi.com)
  • My specialist area of interest is coronary intervention (treating narrowings with balloons and stents). (spirehealthcare.com)
  • CONCLUSIONS: The use of high-radial force balloon-expandable stents deployed inside bifurcated endografts to prevent or treat limb occlusion is a safe and effective adjunctive procedure, with outstanding long-term outcomes in terms of patency and reinterventions. (minervamedica.it)
  • The NC Emerge OTW and NC Emerge MR PTCA Dilatation Catheters (balloon models 2.00- 5.00 mm) are also indicated for the post-delivery expansion of balloon expandable stents (bare metal and drug-eluting). (bostonscientific.com)
  • Note: Bench testing was conducted with NC Emerge OTW and NC Emerge MR PTCA Dilatation Catheters and marketed Boston Scientific balloon expandable stents. (bostonscientific.com)
  • Contrast-enhanced axial CT images show several narrowings of the common and proper hepatic arteries with intervening aneurysmal dilatation. (medscape.com)
  • After normal TBO and flow testing results, permanent balloon occlusion is a preoperative intervention that may reduce cerebral vascular accident (CVA) incidence over simple ligation in this clinical setting. (medscape.com)
  • Paravertebral puncture, under CT navigation to embolize the lumbar artery or a part of the aortic sac with the EL2, is another alternative. (intechopen.com)
  • Mesenteric artery FMD is rare and presents with abdominal symptoms similar to Crohn disease (CD) and Behcet disease (BD). (medscape.com)
  • In all but one of the 38 cases, post-implant aortography or selective cannulation of both coronary arteries had confirmed a lack of obstruction. (medscape.com)
  • 2 - 5 Acute ICA occlusions are more resistant than MCA occlusions to administration of intravenous tissue plasminogen activator (tPA). (ajnr.org)
  • 2 , 17 We evaluated outcome of the acute symptomatic ICA occlusion and estimated how the clinical outcome differs according to the 14 prognostic factors associated with the clinical outcomes. (ajnr.org)
  • mean age, 66 years) who experienced the following: 1) acute symptomatic ICA occlusion within 6 hours of symptom onset or with mismatch of symptoms and early infarct area, 2) initial National Institutes of Health Stroke Scale (NIHSS) ≥6, and 3) attempted intraarterial revascularization, were enrolled in this study. (ajnr.org)
  • Woven coronary artery is relatively rare and can be complicated in both acute and chronic phases. (hindawi.com)
  • Woven coronary artery (WCA) is a very rare congenital anomaly which can affect both RCA and LAD and may lead to acute coronary syndromes in some circumstances [ 4 ]. (hindawi.com)
  • Apical ballooning syndrome mimics acute coronary syndromes. (medicalnewstoday.com)
  • Because concentric catheters are used, the distance between the balloons and hence the size of the treatment area is adjustable. (justia.com)
  • proposes the use of two concentric catheters each having its own occlusion balloon to adjustably isolate a portion of the body passage way. (justia.com)
  • Examination for treatment selection included assessment of the circle of Willis by compression angiography and xenon blood flow studies, with the ultimate evaluation being test occlusion under systemic heparinization with the balloon temporarily placed in the desired position. (thejns.org)
  • Stent placement should only be performed at hospitals where emergency coronary artery bypass graft surgery can be readily performed. (medtronic.com)
  • This fact has led some authors to advocate vein graft reconstruction of the artery whenever technically feasible. (medscape.com)
  • The open surgery involves laparotomy, ligation of the IMA, and endoaneurysmorrhaphy (suture of lumbar artery origins from inside) and then the suture of the aortic sac tightly around the stent graft in situ. (intechopen.com)
  • C-1: Gortex hepatic artery graft thrombosis in a 59-year-old man (shown by arrow). (medscape.com)
  • Regional myocardial blood flow was measured during control conditions with radioisotope-labeled microspheres, and the phasic reactive hyperemic response to a 20-s transient occlusion was then recorded. (jci.org)
  • During the dipyridamole infusion, the increases in phasic blood flow, the distributions of regional myocardial blood flow, and the relationships between thallium-201 localization and regional blood flow were comparable to values previously observed in exercising dogs with similar occlusions. (jci.org)
  • these reversed immediately upon balloon deflation. (thejns.org)
  • The diagnostic and prognostic information available from captopril renography and the increasing availability of magnetic resonance angiography (MRA) have reduced the use of renal arteriography as a diagnostic tool, except in evaluating kidneys with intrarenal branch-artery stenoses and those with complex vascular anatomy, including multiple accessory arteries. (medscape.com)