The role of heparin in preventing the early silent ischemia in carotid stenting

Author(s):  
Dilara Mermi Dibek ◽  
Mehmet Fevzi Öztekin ◽  
Onur Ergun
1989 ◽  
Vol 14 (7) ◽  
pp. 1618-1625 ◽  
Author(s):  
J. Anthony Gomes ◽  
Dimitrios Alexopoulos ◽  
Stephen L. Winters ◽  
Pramod Deshmukh ◽  
Valentin Fuster ◽  
...  

2010 ◽  
Vol 17 (4) ◽  
pp. 556-563 ◽  
Author(s):  
Anna Kablak-Ziembicka ◽  
Tadeusz Przewlocki ◽  
Piotr Pieniazek ◽  
Piotr Musialek ◽  
Lukasz Tekieli ◽  
...  

2003 ◽  
Vol 16 (1) ◽  
pp. 87-91
Author(s):  
L. Castellan ◽  
F. Causin ◽  
V. Pinna ◽  
M. Marchi ◽  
D. Danieli ◽  
...  

To evaluate the role of anticoagulation therapy in carotid stenting with filter devices, we compared the activated clotting times (ACT) to angiographic filter patency and to the materials found inside the filters. 29 endovascular treatments with filter cerebral protection in 27 patients affected by symptomatic internal carotid stenosis > 70% were considered. Angiographic findings, ACT and histopathologic specimens were recorded and statistically correlated. Satisfactory dilatation of the stenosis was always achieved with a complication rate of 3%. During the procedure nine filters caused temporary flow impairment. Histopathologic examination demonstrated material inside the filters in 86% of cases but this material was fibrin alone in 38% and plaque debris in 48%. Significant statistical correlation (p = 0.009) was found between low activated clotting time and occlusion of the filter. Distal protection filters can collect plaque fragments occurring during carotid stenting. A significant proportion of the debris found in the filters consisted of thrombotic material. Monitoring of heparin anticoagulation is recommended to prevent filter occlusion.


2012 ◽  
Vol 80 (1) ◽  
pp. 112-119 ◽  
Author(s):  
Jan Van der Heyden ◽  
Frank J. Wolters ◽  
Nathalie Garin ◽  
Snezana Andrejevic Blant ◽  
Marc Inglin ◽  
...  

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