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Triple Balloon Protection Technique Using the Mo.Ma Ultra with the Carotid GuardWire for Carotid Stenting: Technical Note
Background We describe the “triple balloon protection technique” (TBPT) using the Mo.Ma Ultra in combination with the Carotid GuardWire during carotid artery stenting (CAS). This technique is expected to prevent distal embolism to the internal and external carotid arteries, and is suitable for East...
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| Published in: | Journal of stroke and cerebrovascular diseases 2014-08, Vol.23 (7), p.1871-1876 |
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| container_title | Journal of stroke and cerebrovascular diseases |
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| creator | Asai, Katsunori, MD Imamura, Hirotoshi, MD, PhD Mineharu, Yohei, MD, PhD Tani, Shoichi, MD, PhD Adachi, Hidemitsu, MD, PhD Narumi, Osamu, MD, PhD Todo, Kenichi, MD, PhD Hoshi, Taku, MD, PhD Sato, Shinsuke, MD Kono, Tomoyuki, MD, PhD Sakai, Chiaki, MD, PhD Sakai, Nobuyuki, MD, PhD |
| description | Background We describe the “triple balloon protection technique” (TBPT) using the Mo.Ma Ultra in combination with the Carotid GuardWire during carotid artery stenting (CAS). This technique is expected to prevent distal embolism to the internal and external carotid arteries, and is suitable for East Asians in whom the origin of the superior thyroid artery is lower than that in Caucasians. Methods From December 2012 to May 2013, 11 patients underwent CAS using TBPT in our center. Results Procedural success was achieved in all patients. Complete flow blockade by angiography could not be obtained in 8 patients (72.7%) by proximal occlusion using the Mo.Ma Ultra only. Complete angiographic flow blockade was obtained in all patients by TBPT. No major adverse cardiovascular events, including stroke, myocardial infarction, or death because of any cause, occurred within 30 days. Conclusions The use of TBPT for CAS may be effective for preventing distal embolisms, especially for East Asians. |
| doi_str_mv | 10.1016/j.jstrokecerebrovasdis.2014.02.021 |
| format | article |
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This technique is expected to prevent distal embolism to the internal and external carotid arteries, and is suitable for East Asians in whom the origin of the superior thyroid artery is lower than that in Caucasians. Methods From December 2012 to May 2013, 11 patients underwent CAS using TBPT in our center. Results Procedural success was achieved in all patients. Complete flow blockade by angiography could not be obtained in 8 patients (72.7%) by proximal occlusion using the Mo.Ma Ultra only. Complete angiographic flow blockade was obtained in all patients by TBPT. No major adverse cardiovascular events, including stroke, myocardial infarction, or death because of any cause, occurred within 30 days. Conclusions The use of TBPT for CAS may be effective for preventing distal embolisms, especially for East Asians.</description><identifier>ISSN: 1052-3057</identifier><identifier>EISSN: 1532-8511</identifier><identifier>DOI: 10.1016/j.jstrokecerebrovasdis.2014.02.021</identifier><identifier>PMID: 24813259</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Asian Continental Ancestry Group ; Balloon Occlusion - instrumentation ; Balloon Occlusion - methods ; Cardiovascular ; Carotid artery stenting ; Carotid Stenosis - surgery ; Carotid Stenosis - therapy ; Cerebral Angiography ; Coronary Circulation ; Endovascular Procedures - instrumentation ; Endovascular Procedures - methods ; GuardWire ; Humans ; Mo.Ma ; Neurology ; protection device ; Stents ; Treatment Outcome ; triple balloon</subject><ispartof>Journal of stroke and cerebrovascular diseases, 2014-08, Vol.23 (7), p.1871-1876</ispartof><rights>National Stroke Association</rights><rights>2014 National Stroke Association</rights><rights>Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-35f6a8b29435114b78b1485a6a3d36763ce6897f86419949624e71cd3a56b95c3</citedby><cites>FETCH-LOGICAL-c459t-35f6a8b29435114b78b1485a6a3d36763ce6897f86419949624e71cd3a56b95c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24813259$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Asai, Katsunori, MD</creatorcontrib><creatorcontrib>Imamura, Hirotoshi, MD, PhD</creatorcontrib><creatorcontrib>Mineharu, Yohei, MD, PhD</creatorcontrib><creatorcontrib>Tani, Shoichi, MD, PhD</creatorcontrib><creatorcontrib>Adachi, Hidemitsu, MD, PhD</creatorcontrib><creatorcontrib>Narumi, Osamu, MD, PhD</creatorcontrib><creatorcontrib>Todo, Kenichi, MD, PhD</creatorcontrib><creatorcontrib>Hoshi, Taku, MD, PhD</creatorcontrib><creatorcontrib>Sato, Shinsuke, MD</creatorcontrib><creatorcontrib>Kono, Tomoyuki, MD, PhD</creatorcontrib><creatorcontrib>Sakai, Chiaki, MD, PhD</creatorcontrib><creatorcontrib>Sakai, Nobuyuki, MD, PhD</creatorcontrib><title>Triple Balloon Protection Technique Using the Mo.Ma Ultra with the Carotid GuardWire for Carotid Stenting: Technical Note</title><title>Journal of stroke and cerebrovascular diseases</title><addtitle>J Stroke Cerebrovasc Dis</addtitle><description>Background We describe the “triple balloon protection technique” (TBPT) using the Mo.Ma Ultra in combination with the Carotid GuardWire during carotid artery stenting (CAS). This technique is expected to prevent distal embolism to the internal and external carotid arteries, and is suitable for East Asians in whom the origin of the superior thyroid artery is lower than that in Caucasians. Methods From December 2012 to May 2013, 11 patients underwent CAS using TBPT in our center. Results Procedural success was achieved in all patients. Complete flow blockade by angiography could not be obtained in 8 patients (72.7%) by proximal occlusion using the Mo.Ma Ultra only. Complete angiographic flow blockade was obtained in all patients by TBPT. No major adverse cardiovascular events, including stroke, myocardial infarction, or death because of any cause, occurred within 30 days. Conclusions The use of TBPT for CAS may be effective for preventing distal embolisms, especially for East Asians.</description><subject>Asian Continental Ancestry Group</subject><subject>Balloon Occlusion - instrumentation</subject><subject>Balloon Occlusion - methods</subject><subject>Cardiovascular</subject><subject>Carotid artery stenting</subject><subject>Carotid Stenosis - surgery</subject><subject>Carotid Stenosis - therapy</subject><subject>Cerebral Angiography</subject><subject>Coronary Circulation</subject><subject>Endovascular Procedures - instrumentation</subject><subject>Endovascular Procedures - methods</subject><subject>GuardWire</subject><subject>Humans</subject><subject>Mo.Ma</subject><subject>Neurology</subject><subject>protection device</subject><subject>Stents</subject><subject>Treatment Outcome</subject><subject>triple balloon</subject><issn>1052-3057</issn><issn>1532-8511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqVUk2L1EAQDaK46-pfkD6KkNiV_kjiQXAHXYVZFXYGj02nU3E6m0mP3Z2V-ff27Ix7EC9CQRXFq_eoV5Vlr4EWQEG-GYohRO9u0aDH1rs7HTobipICL2iZAh5l5yBYmdcC4HGqqShzRkV1lj0LYaAUQNTiaXZW8hpYKZrzbL_ydjciudTj6NxEvnkX0USbyhWazWR_zkjWwU4_SNwguXbFtSbrMXpNftm4uW8udBqyHbmate--W4-kd_6hexNximn-7YnQ6JF8SSLPsye9HgO-OOWLbP3xw2rxKV9-vfq8eL_MDRdNzJnopa7bsuEsLcXbqm6B10JLzTomK8kMyrqp-lpyaBreyJJjBaZjWsi2EYZdZK-OvDvv0jIhqq0NBsdRT-jmoECI5G4NUCbo5RFqvAvBY6923m613yug6nACNah_nUAdTqBomQISycuT3txusXug-ON5AiyPAExb31n0KhiLk8EuWWei6pz9P713f9GZ0d7bfIt7DIOb_ZT8VaBCGlA3h6c4_ATw9A-0luw3_s66iQ</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Asai, Katsunori, MD</creator><creator>Imamura, Hirotoshi, MD, PhD</creator><creator>Mineharu, Yohei, MD, PhD</creator><creator>Tani, Shoichi, MD, PhD</creator><creator>Adachi, Hidemitsu, MD, PhD</creator><creator>Narumi, Osamu, MD, PhD</creator><creator>Todo, Kenichi, MD, PhD</creator><creator>Hoshi, Taku, MD, PhD</creator><creator>Sato, Shinsuke, MD</creator><creator>Kono, Tomoyuki, MD, PhD</creator><creator>Sakai, Chiaki, MD, PhD</creator><creator>Sakai, Nobuyuki, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Triple Balloon Protection Technique Using the Mo.Ma Ultra with the Carotid GuardWire for Carotid Stenting: Technical Note</title><author>Asai, Katsunori, MD ; Imamura, Hirotoshi, MD, PhD ; Mineharu, Yohei, MD, PhD ; Tani, Shoichi, MD, PhD ; Adachi, Hidemitsu, MD, PhD ; Narumi, Osamu, MD, PhD ; Todo, Kenichi, MD, PhD ; Hoshi, Taku, MD, PhD ; Sato, Shinsuke, MD ; Kono, Tomoyuki, MD, PhD ; Sakai, Chiaki, MD, PhD ; Sakai, Nobuyuki, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-35f6a8b29435114b78b1485a6a3d36763ce6897f86419949624e71cd3a56b95c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Asian Continental Ancestry Group</topic><topic>Balloon Occlusion - instrumentation</topic><topic>Balloon Occlusion - methods</topic><topic>Cardiovascular</topic><topic>Carotid artery stenting</topic><topic>Carotid Stenosis - surgery</topic><topic>Carotid Stenosis - therapy</topic><topic>Cerebral Angiography</topic><topic>Coronary Circulation</topic><topic>Endovascular Procedures - instrumentation</topic><topic>Endovascular Procedures - methods</topic><topic>GuardWire</topic><topic>Humans</topic><topic>Mo.Ma</topic><topic>Neurology</topic><topic>protection device</topic><topic>Stents</topic><topic>Treatment Outcome</topic><topic>triple balloon</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Asai, Katsunori, MD</creatorcontrib><creatorcontrib>Imamura, Hirotoshi, MD, PhD</creatorcontrib><creatorcontrib>Mineharu, Yohei, MD, PhD</creatorcontrib><creatorcontrib>Tani, Shoichi, MD, PhD</creatorcontrib><creatorcontrib>Adachi, Hidemitsu, MD, PhD</creatorcontrib><creatorcontrib>Narumi, Osamu, MD, PhD</creatorcontrib><creatorcontrib>Todo, Kenichi, MD, PhD</creatorcontrib><creatorcontrib>Hoshi, Taku, MD, PhD</creatorcontrib><creatorcontrib>Sato, Shinsuke, MD</creatorcontrib><creatorcontrib>Kono, Tomoyuki, MD, PhD</creatorcontrib><creatorcontrib>Sakai, Chiaki, MD, PhD</creatorcontrib><creatorcontrib>Sakai, Nobuyuki, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of stroke and cerebrovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Asai, Katsunori, MD</au><au>Imamura, Hirotoshi, MD, PhD</au><au>Mineharu, Yohei, MD, PhD</au><au>Tani, Shoichi, MD, PhD</au><au>Adachi, Hidemitsu, MD, PhD</au><au>Narumi, Osamu, MD, PhD</au><au>Todo, Kenichi, MD, PhD</au><au>Hoshi, Taku, MD, PhD</au><au>Sato, Shinsuke, MD</au><au>Kono, Tomoyuki, MD, PhD</au><au>Sakai, Chiaki, MD, PhD</au><au>Sakai, Nobuyuki, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Triple Balloon Protection Technique Using the Mo.Ma Ultra with the Carotid GuardWire for Carotid Stenting: Technical Note</atitle><jtitle>Journal of stroke and cerebrovascular diseases</jtitle><addtitle>J Stroke Cerebrovasc Dis</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>23</volume><issue>7</issue><spage>1871</spage><epage>1876</epage><pages>1871-1876</pages><issn>1052-3057</issn><eissn>1532-8511</eissn><abstract>Background We describe the “triple balloon protection technique” (TBPT) using the Mo.Ma Ultra in combination with the Carotid GuardWire during carotid artery stenting (CAS). This technique is expected to prevent distal embolism to the internal and external carotid arteries, and is suitable for East Asians in whom the origin of the superior thyroid artery is lower than that in Caucasians. Methods From December 2012 to May 2013, 11 patients underwent CAS using TBPT in our center. Results Procedural success was achieved in all patients. Complete flow blockade by angiography could not be obtained in 8 patients (72.7%) by proximal occlusion using the Mo.Ma Ultra only. Complete angiographic flow blockade was obtained in all patients by TBPT. No major adverse cardiovascular events, including stroke, myocardial infarction, or death because of any cause, occurred within 30 days. Conclusions The use of TBPT for CAS may be effective for preventing distal embolisms, especially for East Asians.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24813259</pmid><doi>10.1016/j.jstrokecerebrovasdis.2014.02.021</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of stroke and cerebrovascular diseases, 2014-08, Vol.23 (7), p.1871-1876 |
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| source | ScienceDirect Journals |
| subjects | Asian Continental Ancestry Group Balloon Occlusion - instrumentation Balloon Occlusion - methods Cardiovascular Carotid artery stenting Carotid Stenosis - surgery Carotid Stenosis - therapy Cerebral Angiography Coronary Circulation Endovascular Procedures - instrumentation Endovascular Procedures - methods GuardWire Humans Mo.Ma Neurology protection device Stents Treatment Outcome triple balloon |
| title | Triple Balloon Protection Technique Using the Mo.Ma Ultra with the Carotid GuardWire for Carotid Stenting: Technical Note |
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