Carotid Stenting - Procedure

Procedure

  • Informed consent obtained and local anaesthetic administered
  • Preparation of both groins with antiseptic and draped
  • Puncture into femoral artery and access through short sheath
  • Guidewire passed through aorta and into arch
  • Arch aortogram obtained if not previously performed to confirm suitability to continue
  • Carotid and cerebral angiogram performed
  • Long access sheath placed after cannulation of common carotid artery (CCA)
  • Guidewire passed through area of carotid narrowing
  • Placement of embolic protection device to prevent debris reaching the brain
  • Angioplasty of carotid narrowing
  • Stent deployment
  • Angioplasty after stent deployment
  • Removal of protection device, guidewires and sheath
  • Aftercare of groin puncture site

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