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Anatomical Considerations for Endovascular Intervention for Extracranial Carotid Disease: A Review of the Literature and Recommended Guidelines

Patient selection for endovascular intervention in extracranial carotid disease is centered on vascular anatomy. We review anatomical considerations for non-traumatic disease and offer guidelines in patient selection and management. We conducted a systematic literature review without meta-analysis f...

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Detalles Bibliográficos
Autores principales: Scullen, Tyler, Mathkour, Mansour, Carr, Christopher, Wang, Arthur, Amenta, Peter S., Nerva, John D., Dumont, Aaron S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7693974/
https://www.ncbi.nlm.nih.gov/pubmed/33121192
http://dx.doi.org/10.3390/jcm9113460
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author Scullen, Tyler
Mathkour, Mansour
Carr, Christopher
Wang, Arthur
Amenta, Peter S.
Nerva, John D.
Dumont, Aaron S.
author_facet Scullen, Tyler
Mathkour, Mansour
Carr, Christopher
Wang, Arthur
Amenta, Peter S.
Nerva, John D.
Dumont, Aaron S.
author_sort Scullen, Tyler
collection PubMed
description Patient selection for endovascular intervention in extracranial carotid disease is centered on vascular anatomy. We review anatomical considerations for non-traumatic disease and offer guidelines in patient selection and management. We conducted a systematic literature review without meta-analysis for studies involving anatomical considerations in extracranial carotid intervention for non-traumatic disease. Anatomical considerations discussed included aortic arch variants, degree of vessel stenosis, angulation, tortuosity, and anomalous origins, and atheromatous plaque morphology, composition, and location. Available literature suggests that anatomical risks of morbidity are largely secondary to increased procedural times and difficulties in intervention system delivery. We recommend the prioritization of endovascular techniques on an individual basis in cases where accessible systems and surgeon familiarity provide an acceptable likelihood of rapid access and device deployment.
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spelling pubmed-76939742020-11-28 Anatomical Considerations for Endovascular Intervention for Extracranial Carotid Disease: A Review of the Literature and Recommended Guidelines Scullen, Tyler Mathkour, Mansour Carr, Christopher Wang, Arthur Amenta, Peter S. Nerva, John D. Dumont, Aaron S. J Clin Med Review Patient selection for endovascular intervention in extracranial carotid disease is centered on vascular anatomy. We review anatomical considerations for non-traumatic disease and offer guidelines in patient selection and management. We conducted a systematic literature review without meta-analysis for studies involving anatomical considerations in extracranial carotid intervention for non-traumatic disease. Anatomical considerations discussed included aortic arch variants, degree of vessel stenosis, angulation, tortuosity, and anomalous origins, and atheromatous plaque morphology, composition, and location. Available literature suggests that anatomical risks of morbidity are largely secondary to increased procedural times and difficulties in intervention system delivery. We recommend the prioritization of endovascular techniques on an individual basis in cases where accessible systems and surgeon familiarity provide an acceptable likelihood of rapid access and device deployment. MDPI 2020-10-27 /pmc/articles/PMC7693974/ /pubmed/33121192 http://dx.doi.org/10.3390/jcm9113460 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Scullen, Tyler
Mathkour, Mansour
Carr, Christopher
Wang, Arthur
Amenta, Peter S.
Nerva, John D.
Dumont, Aaron S.
Anatomical Considerations for Endovascular Intervention for Extracranial Carotid Disease: A Review of the Literature and Recommended Guidelines
title Anatomical Considerations for Endovascular Intervention for Extracranial Carotid Disease: A Review of the Literature and Recommended Guidelines
title_full Anatomical Considerations for Endovascular Intervention for Extracranial Carotid Disease: A Review of the Literature and Recommended Guidelines
title_fullStr Anatomical Considerations for Endovascular Intervention for Extracranial Carotid Disease: A Review of the Literature and Recommended Guidelines
title_full_unstemmed Anatomical Considerations for Endovascular Intervention for Extracranial Carotid Disease: A Review of the Literature and Recommended Guidelines
title_short Anatomical Considerations for Endovascular Intervention for Extracranial Carotid Disease: A Review of the Literature and Recommended Guidelines
title_sort anatomical considerations for endovascular intervention for extracranial carotid disease: a review of the literature and recommended guidelines
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7693974/
https://www.ncbi.nlm.nih.gov/pubmed/33121192
http://dx.doi.org/10.3390/jcm9113460
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