The Latest in Carotid Artery Stenting-The Importance of Procedural Embolic Protection

Video Transcription

Video Summary

The video discusses advancements in carotid stenting procedures, emphasizing procedural and biological protection against microemboli. Traditional procedures like carotid endarterectomy (CEA) and carotid artery stenting (CAS) have different risks, such as myocardial infarctions and strokes. Technological advancements, such as the Paladin embolic protection system and other filters with smaller pore sizes, help reduce microemboli during stenting. The video also mentions proximal protection devices like TCAR, which prevent embolization by offering protection during all procedural steps. The need for new balloon designs to accommodate calcified lesions is crucial for safer interventions. However, caution is advised when exploring new technologies like intravascular lithotripsy (IVL), ensuring studies are conducted with thorough evaluation. The discussion highlights the delicate balance between medical interventions and procedural innovations in treating symptomatic patients, aiming to reduce stroke rates and improve patient outcomes.

Asset Subtitle

Kenneth Rosenfield, MD, MHCDS, MSCAI

Keywords

carotid stenting

embolic protection

microemboli

TCAR

intravascular lithotripsy