{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:12:02Z","timestamp":1761822722083},"reference-count":57,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2004,2,19]],"date-time":"2004-02-19T00:00:00Z","timestamp":1077148800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2004,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The purpose of this study was to examine the possible beneficial effect of the PercuSurge GuardWire cerebral protection device based on balloon occlusion of the distal internal carotid artery and debris aspiration for patients undergoing carotid artery stenting (CAS). A total of 268 CAS procedures were attempted under cerebral protection using the PercuSurge GuardWire system in 242 patients (194 men; mean age, 71.2 \u00b1 9.4 years; range, 40\u201391). The lesions were mainly atherosclerotic; 64% were symptomatic. Technical success was 99.3%. All lesions were stented except three postangioplasty restenoses. Prophylactic occlusion during balloon dilatation and stenting was well tolerated in 255 patients (95.9%). Microscopic analysis of the aspirated blood showed different types of particles numbering between 7 and 145 per procedure, with a mean diameter of 250 \u03bcm (mean, 56\u20132,652 \u03bcm). The 30\u2010day stroke and death rate was 2.3%, with four periprocedural complications at &lt; 48 hr (one retinal embolism and three transient ischemic attacks), one intracerebral hemorrhage at 3 days, and one death of cardiac failure at 3 weeks. This technique appears safe and efficient with a low rate of periprocedural embolic events. Protection devices seem indispensable to perform CAS and expand the applicability of the procedure. Randomized studies (surgery vs. CAS with and without cerebral protection) are awaited. Catheter Cardiovasc Interv 2004;61:293\u2013305. \u00a9 2004 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.10776","type":"journal-article","created":{"date-parts":[[2004,11,21]],"date-time":"2004-11-21T13:18:55Z","timestamp":1101043135000},"page":"293-305","source":"Crossref","is-referenced-by-count":34,"title":["Carotid angioplasty under cerebral protection with the percusurge guardwire system"],"prefix":"10.1002","volume":"61","author":[{"given":"Michel","family":"Henry","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonios","family":"Polydorou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Henry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adamantia","family":"Polydorou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Hugel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,2,19]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199108153250701"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(91)92916-P"},{"key":"e_1_2_8_4_2","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1001\/jama.1995.03520420037035","article-title":"Endarterectomy for asymptomatic carotid artery stenosis","volume":"273","author":"Executive Committee for Asymptomatic Carotid Atherosclerotic Study","year":"1995","journal-title":"JAMA"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)43189-0"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.27.2.260"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.24.9.1285"},{"key":"e_1_2_8_8_2","volume-title":"Heart and stroke facts: 1996 statistical supplement","author":"American Heart Association","year":"1996"},{"key":"e_1_2_8_9_2","first-page":"19","article-title":"Management of coexistent carotid artery and coronary artery disease","volume":"23","author":"Graor RA","year":"1988","journal-title":"Curr Concepts Cerebrovasc Dis Stroke"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)64544-4"},{"key":"e_1_2_8_11_2","first-page":"241","volume-title":"Sundt's occlusive cerebrovascular disease","author":"Sundt TM","year":"1994"},{"key":"e_1_2_8_12_2","first-page":"323","volume-title":"Sundt's occlusive cerebrovascular disease","author":"Link MJ","year":"1994"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1982.01380350016003"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198803243181201"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1995.83.5.0778"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2001.111981"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.95.2.376"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1583\/1074-6218(1996)003<0042:SITCAI>2.0.CO;2"},{"issue":"3","key":"e_1_2_8_19_2","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/S0002-9149(96)00487-0","article-title":"Carotid stent\u2010supported angioplasty: a neurovascular intervention to prevent stroke","volume":"78","author":"Roubin GS","year":"1996","journal-title":"Am J Cardiol"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1583\/1074-6218(1998)005<0293:AASOTE>2.0.CO;2"},{"key":"e_1_2_8_21_2","first-page":"150","article-title":"Angioplasty and stenting of the extracranial carotid arteries","volume":"27","author":"Henry M","year":"2000","journal-title":"Tex Heart Inst J"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(00)00618-5"},{"issue":"1","key":"e_1_2_8_23_2","first-page":"141","article-title":"Endovascular treatment of atherosclerotic stenosis of the internal carotid artery","volume":"39","author":"Henry M","year":"1998","journal-title":"J Cardiovasc Surg"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.103.4.532"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.1583\/1545-1550(2001)008<0341:MONCOC>2.0.CO;2"},{"key":"e_1_2_8_26_2","first-page":"801","article-title":"Endovascular treatment of carotid atherosclerotic disease: early and late outcome in a non selected population","volume":"1","author":"Cremonesi A","year":"2000","journal-title":"Ital Heart J"},{"key":"e_1_2_8_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1522-726X(200005)50:1<1::AID-CCD1>3.0.CO;2-R"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04893-5"},{"key":"e_1_2_8_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01595-9"},{"key":"e_1_2_8_30_2","first-page":"113","article-title":"Innominate artery angioplasty","volume":"5","author":"Vitek JJ","year":"1984","journal-title":"Am J Neuroradiol"},{"key":"e_1_2_8_31_2","first-page":"495","article-title":"Percutaneous angioplasty of atherosclerotic and postsurgical stenosis of carotid arteries","volume":"8","author":"Theron J","year":"1987","journal-title":"Am J Neuroradiol"},{"key":"e_1_2_8_32_2","doi-asserted-by":"publisher","DOI":"10.1583\/1074-6218(1999)006<0321:CSWCPF>2.0.CO;2"},{"key":"e_1_2_8_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/152660280100800601"},{"key":"e_1_2_8_34_2","doi-asserted-by":"publisher","DOI":"10.1583\/1545-1550(2002)009<0001:BOCPDC>2.0.CO;2"},{"key":"e_1_2_8_35_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.201.3.8939208"},{"key":"e_1_2_8_36_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2000.109209"},{"key":"e_1_2_8_37_2","doi-asserted-by":"publisher","DOI":"10.1161\/hc4201.099224"},{"key":"e_1_2_8_38_2","first-page":"73","volume-title":"How much cerebral embolization occurs during CAS?","author":"Mathias K","year":"2001"},{"key":"e_1_2_8_39_2","volume-title":"Carotid angioplasty and stenting under cerebral protection: the standard of care","author":"Roubin GS","year":"2002"},{"key":"e_1_2_8_40_2","volume-title":"Single center experience with balloon protected carotid artery stenting in 98 patients","author":"Schlueter M","year":"2001"},{"key":"e_1_2_8_41_2","volume-title":"Neurologic events after carotid stenting with distal protection using an occlusion balloon: final results from the Cafe USA trial","author":"Mehran R","year":"2001"},{"key":"e_1_2_8_42_2","volume-title":"Carotid angioplasty and stenting with and without cerebral protection: single center experience in 275 consecutive patients","author":"Castriota F","year":"2002"},{"key":"e_1_2_8_43_2","first-page":"144","article-title":"Carotid stenting with and without protection device: should protection be useful in all patients?","volume":"13","author":"Ohki T","year":"2000","journal-title":"Semin Vasc Surg"},{"key":"e_1_2_8_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70041-8"},{"key":"e_1_2_8_45_2","doi-asserted-by":"publisher","DOI":"10.1161\/hc2601.092495"},{"key":"e_1_2_8_46_2","volume-title":"Carotid angioplasty and stenting under cerebral protection: the standard of care","author":"Roubin GS","year":"2002"},{"key":"e_1_2_8_47_2","doi-asserted-by":"publisher","DOI":"10.1583\/1074-6218(1998)005<0240:CPCUDI>2.0.CO;2"},{"key":"e_1_2_8_48_2","doi-asserted-by":"publisher","DOI":"10.1053\/ejvs.1999.0789"},{"key":"e_1_2_8_49_2","doi-asserted-by":"publisher","DOI":"10.1583\/1545-1550(2001)008<0046:TIROCA>2.0.CO;2"},{"key":"e_1_2_8_50_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1522-726X(199906)47:2<243::AID-CCD25>3.0.CO;2-Q"},{"key":"e_1_2_8_51_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(99)00196-5"},{"key":"e_1_2_8_52_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.31.2.376"},{"key":"e_1_2_8_53_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)80130-9"},{"key":"e_1_2_8_54_2","volume-title":"Angioplasty and stenting of the carotid and supra aortic vessels. Textbook of peripheral vascular intervention","author":"Sch\u00f6nholz C","year":"2004"},{"key":"e_1_2_8_55_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2000.109209"},{"key":"e_1_2_8_56_2","volume-title":"A new approach to cerebral protection","author":"Parodi JC","year":"2001"},{"key":"e_1_2_8_57_2","volume-title":"Carotid angioplasty and stenting: Lenox Hill experience","author":"Roubin GS","year":"2002"},{"key":"e_1_2_8_58_2","volume-title":"Carotid angioplasty and stenting with the reversal flow technique: a multicenter experience","author":"Sievert H","year":"2002"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.10776","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.10776","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T23:26:01Z","timestamp":1697239561000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.10776"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,2,19]]},"references-count":57,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2004,3]]}},"alternative-id":["10.1002\/ccd.10776"],"URL":"https:\/\/doi.org\/10.1002\/ccd.10776","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,2,19]]}}}