New triple coaxial catheter system for carotid angioplasty with cerebral protection.

Abstract

We previously reported an angioplasty technique involving temporary occlusion of the internal carotid artery to prevent cerebral embolization during manipulation of ulcerated plaques [18]. The present article describes a new triple coaxial catheter system (Schneider [Europe] AG, Zurich, Switzerland) (Fig. 1), which simplifies this technique and allows angioplasty with a «cerebral protection» based on the same concepts of distal temporary occlusion of the internal carotid artery