Learn how to use the most advanced level catheter-based intervention to treat carotid artery disease

Carotid Artery Stent (CAS) procedures have become an acceptable alternative for treating carotid artery disease in high-risk patients. What are the risks of performing this procedure, how can they be minimized, and how can you reduce the patient’s recovery period?

Key facts:

  • Stroke is the 5th leading cause of death and the leading cause of disability in the US and UK.  
  • The most common cause of a stroke is the presence and rupture of an atherosclerotic plaque in the cervical carotid artery. Carotid artery stenosis has shown to account for ~10-15% of all ischemic strokes.
  • Data from the SAPPHIRE clinical trials have shown CAS procedures using distal embolic protection device (EPD) in high-risk patients to be non-inferior to carotid endarterectomy.
  • Cordis Carotid Artery Stent System offers a unique design and advanced level catheter-based intervention,  ideally suited to the challenges of CAS.
Anatomy of the great vessels

Carotid artery stenting is a procedure used for carotid artery occlusive disease. This simulation gives you the opportunity to review carotid and cerebral arterial anatomy, carotid artery disease, diagnostic imaging methods, necessary equipment and steps for conducting a CAS procedure using the Cordis ANGIOGUARD® RX Emboli Capture Guidewire System and the Cordi PRECISION PRO RX® Carotid Stent System, and important peri-procedural care.

 

Arterial branches arising from the external carotid artery
Arterial branches arising from the subclavian artery

 

 

 

 

 

 

 

 

Dr. Kristin Fontenot highlights several tips on how to choose the appropriate EPD and how to minimize risks while performing CAS with embolic protection:

“Choosing the right size is critical to the function of the embolic protection device. The first step is to determine the appropriate landing zone for the EPD: the target location is always cephalad to the lesion.”

Dr. K. Fontenot, PA-C. Director, Clinical Education & Training Cordis

If the lesion is near the bifurcation, then the stent is deployed from the internal carotid artery and across the external carotid artery into the common carotid
Dr. K. Fontenot, PA-C. Director, Clinical Education & Training Cordis
“Ideally the filter would be placed in a straight portion of the vessel no less than 3cm distal to the lesion, in the pre-petrous segment of the vessel”
Dr. K. Fontenot, PA-C. Director, Clinical Education & Training Cordis

 

 

 

 

 

 

 

 

 

 

 

Learn how to deploy a stent depending on where the lesion is located. View our new procedure – Carotid Artery Stenting – on the Touch Surgery App and test your procedural awareness.