Proposed clinical internal carotid artery classification system

Toward an endovascular internal carotid artery classification system.

SUMMARY Does the world need another ICA classification scheme? We believe so. The purpose of proposed angiography-driven classification is to optimize description of the carotid artery from the endovascular perspective. A review of existing, predominantly surgically-driven classifications is performed, and a new scheme, based on the study of NYU aneurysm angiographic and cross-sectional databas...

METHODOLOGIC PERSPECTIVES Toward an Endovascular Internal Carotid Artery Classification System

SUMMARY: Does the world need another ICA classification scheme? We believe so. The purpose of proposed angiography-driven classification is to optimize description of the carotid artery from the endovascular perspective. A review of existing, predominantly surgically-driven classifications is performed, and a new scheme, based on the study of NYU aneurysm angiographic and cross-sectional databa...

A Penetrating Pellet Jeopardizing Internal Carotid Artery

[Internal carotid artery revascularization].

Carotid endarterectomy remains the standard revascularization technique for the prevention of ischemic stroke resulting from severe carotid stenosis. Surgery is highly beneficial in patients with a symptomatic stenosis of 70% or greater that is not a total or near-total occlusion. The benefit becomes more diluted in patients with a symptomatic 50-69% stenosis, and surgery has no effect, or even...

Clinical implications of internal carotid artery flow impairment caused by filter occlusion during carotid artery stenting.

BACKGROUND AND PURPOSE Membrane filters are EPDs, which preserve ICA flow during CAS. However, ICA flow arrest may occur with filter use. This report describes the angiographic, clinical, and histopathologic features of the filter occlusion. MATERIALS AND METHODS Sixty-one consecutive patients with cervical carotid stenosis treated by CAS by using a single type of filter device were evaluated...