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Perspectives in Vascular Surgery and Endovascular Therapy
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Reviews

Flow Reversal for Cerebral Protection in Carotid Artery Stenting: A Review

Rebecca Kelso, MD

Department of Vascular Surgery, Heart & Vascular Institute, Cleveland, Ohio

Daniel G. Clair, MD

Department of Vascular Surgery, Heart & Vascular Institute, Cleveland, Ohio, claird{at}ccf.org

Carotid artery stenting has established itself as a valid treatment option for carotid stenosis. Many neuroprotective devices have been developed to minimize the risk of embolic events and stroke. Of the devices available today, flow reversal is unique in its conceptual similarity to carotid endarterectomy shunting techniques that maintain cerebral flow. This review focuses on the technical aspects, results, advantages, and disadvantages of carotid flow reversal for embolic protection during carotid artery stenting.

Key Words: flow reversal • carotid artery stenting • embolic protection devices

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 20, No. 3, 282-290 (2008)
DOI: 10.1177/1531003508324253
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