Abstract 1122‐000078: C‐Guard Stent for the Treatment of Cervical Internal Carotid Artery Aneurysms: Report of 2 Cases
Introduction: C‐Guard carotid stent is a self‐expandable open cell stent covered with a double‐layer mesh which was developed for the treatment of internal carotid artery disease. Lower procedural and complications rates, as well as lower post‐operative infarctions are some advantages of this device...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-11-01
|
| Series: | Stroke: Vascular and Interventional Neurology |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/SVIN.01.suppl_1.000078 |
| _version_ | 1797948377982304256 |
|---|---|
| author | John Vargas Urbina Giancarlo Saal‐Zapata Dante Valer‐Gonzales Ivethe Preguntegui‐Loayza John Vargas‐Urbina Aaron Rodriguez‐Calienes Rodolfo Rodriguez‐Varela |
| author_facet | John Vargas Urbina Giancarlo Saal‐Zapata Dante Valer‐Gonzales Ivethe Preguntegui‐Loayza John Vargas‐Urbina Aaron Rodriguez‐Calienes Rodolfo Rodriguez‐Varela |
| author_sort | John Vargas Urbina |
| collection | DOAJ |
| description | Introduction: C‐Guard carotid stent is a self‐expandable open cell stent covered with a double‐layer mesh which was developed for the treatment of internal carotid artery disease. Lower procedural and complications rates, as well as lower post‐operative infarctions are some advantages of this device. Nevertheless, the use of C‐Guard in the treatment of cervical internal carotid artery (ICA) aneurysms is scarce. Therefore, we present two cases in which the C‐Guard stent achieved complete angiographic occlusion at follow‐up. Methods: We identified two cases in which the C‐Guard carotid stent was used to treat symptomatic cervical ICA aneurysms. Angiographic follow‐up was performed. Results: Case 1: 47‐yo female presented left‐sided motor deficit. CT showed ischemic areas in the right hemisphere and CTA demonstrated an unruptured aneurysm in the C1 segment of the right ICA. The patient started dual antiplatelet therapy (DAPT) with aspirin and clopidogrel. A 6mm x 40 mm C‐Guard carotid stent was deployed without complications. One‐year follow‐up CTA showed complete obliteration of the aneurysm with reconstruction of the ICA. Case 2: 38‐yo male presented decreased left visual acuity. CTA and DSA showed an unruptured aneurysm in the C1 segment of the ICA. The patient started DAPT with aspirin and clopidogrel. A 7mm x 30 mm C‐Guard carotid stent was deployed without complications. Three‐month follow‐up DSA showed complete obliteration of the aneurysm with adequate filling of distal vessels. Conclusions: C‐Guard stent is a potential alternative to conventional carotid stents in the treatment of cervical ICA aneurysms with high obliteration rates at follow‐up. |
| first_indexed | 2024-04-10T21:42:22Z |
| format | Article |
| id | doaj.art-4dfcf3111c214a7d81b395a3386b7009 |
| institution | Directory Open Access Journal |
| issn | 2694-5746 |
| language | English |
| last_indexed | 2024-04-10T21:42:22Z |
| publishDate | 2021-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Stroke: Vascular and Interventional Neurology |
| spelling | doaj.art-4dfcf3111c214a7d81b395a3386b70092023-01-18T21:39:23ZengWileyStroke: Vascular and Interventional Neurology2694-57462021-11-011S110.1161/SVIN.01.suppl_1.000078Abstract 1122‐000078: C‐Guard Stent for the Treatment of Cervical Internal Carotid Artery Aneurysms: Report of 2 CasesJohn Vargas Urbina0Giancarlo Saal‐Zapata1Dante Valer‐Gonzales2Ivethe Preguntegui‐Loayza3John Vargas‐Urbina4Aaron Rodriguez‐Calienes5Rodolfo Rodriguez‐Varela6Hospital Nacional Guillermo Almenara Irigoyen Lima PeruHospital Nacional Guillermo Almenara Irigoyen Lima PeruHospital Nacional Guillermo Almenara Irigoyen Lima PeruInstituto Nacional de Salud del Niño Lima PeruHospital Nacional Guillermo Almenara Irigoyen Lima PeruClínica Angloamericana Lima PeruHospital Nacional Guillermo Almenara Irigoyen Lima PeruIntroduction: C‐Guard carotid stent is a self‐expandable open cell stent covered with a double‐layer mesh which was developed for the treatment of internal carotid artery disease. Lower procedural and complications rates, as well as lower post‐operative infarctions are some advantages of this device. Nevertheless, the use of C‐Guard in the treatment of cervical internal carotid artery (ICA) aneurysms is scarce. Therefore, we present two cases in which the C‐Guard stent achieved complete angiographic occlusion at follow‐up. Methods: We identified two cases in which the C‐Guard carotid stent was used to treat symptomatic cervical ICA aneurysms. Angiographic follow‐up was performed. Results: Case 1: 47‐yo female presented left‐sided motor deficit. CT showed ischemic areas in the right hemisphere and CTA demonstrated an unruptured aneurysm in the C1 segment of the right ICA. The patient started dual antiplatelet therapy (DAPT) with aspirin and clopidogrel. A 6mm x 40 mm C‐Guard carotid stent was deployed without complications. One‐year follow‐up CTA showed complete obliteration of the aneurysm with reconstruction of the ICA. Case 2: 38‐yo male presented decreased left visual acuity. CTA and DSA showed an unruptured aneurysm in the C1 segment of the ICA. The patient started DAPT with aspirin and clopidogrel. A 7mm x 30 mm C‐Guard carotid stent was deployed without complications. Three‐month follow‐up DSA showed complete obliteration of the aneurysm with adequate filling of distal vessels. Conclusions: C‐Guard stent is a potential alternative to conventional carotid stents in the treatment of cervical ICA aneurysms with high obliteration rates at follow‐up.https://www.ahajournals.org/doi/10.1161/SVIN.01.suppl_1.000078AneurysmStentingNew Technique |
| spellingShingle | John Vargas Urbina Giancarlo Saal‐Zapata Dante Valer‐Gonzales Ivethe Preguntegui‐Loayza John Vargas‐Urbina Aaron Rodriguez‐Calienes Rodolfo Rodriguez‐Varela Abstract 1122‐000078: C‐Guard Stent for the Treatment of Cervical Internal Carotid Artery Aneurysms: Report of 2 Cases Stroke: Vascular and Interventional Neurology Aneurysm Stenting New Technique |
| title | Abstract 1122‐000078: C‐Guard Stent for the Treatment of Cervical Internal Carotid Artery Aneurysms: Report of 2 Cases |
| title_full | Abstract 1122‐000078: C‐Guard Stent for the Treatment of Cervical Internal Carotid Artery Aneurysms: Report of 2 Cases |
| title_fullStr | Abstract 1122‐000078: C‐Guard Stent for the Treatment of Cervical Internal Carotid Artery Aneurysms: Report of 2 Cases |
| title_full_unstemmed | Abstract 1122‐000078: C‐Guard Stent for the Treatment of Cervical Internal Carotid Artery Aneurysms: Report of 2 Cases |
| title_short | Abstract 1122‐000078: C‐Guard Stent for the Treatment of Cervical Internal Carotid Artery Aneurysms: Report of 2 Cases |
| title_sort | abstract 1122 000078 c guard stent for the treatment of cervical internal carotid artery aneurysms report of 2 cases |
| topic | Aneurysm Stenting New Technique |
| url | https://www.ahajournals.org/doi/10.1161/SVIN.01.suppl_1.000078 |
| work_keys_str_mv | AT johnvargasurbina abstract1122000078cguardstentforthetreatmentofcervicalinternalcarotidarteryaneurysmsreportof2cases AT giancarlosaalzapata abstract1122000078cguardstentforthetreatmentofcervicalinternalcarotidarteryaneurysmsreportof2cases AT dantevalergonzales abstract1122000078cguardstentforthetreatmentofcervicalinternalcarotidarteryaneurysmsreportof2cases AT ivethepregunteguiloayza abstract1122000078cguardstentforthetreatmentofcervicalinternalcarotidarteryaneurysmsreportof2cases AT johnvargasurbina abstract1122000078cguardstentforthetreatmentofcervicalinternalcarotidarteryaneurysmsreportof2cases AT aaronrodriguezcalienes abstract1122000078cguardstentforthetreatmentofcervicalinternalcarotidarteryaneurysmsreportof2cases AT rodolforodriguezvarela abstract1122000078cguardstentforthetreatmentofcervicalinternalcarotidarteryaneurysmsreportof2cases |