Neuro-rescue during Carotid Renting

This paper deals with the treatment of acute neurological complications that may occur during carotid angioplasty with stenting. Endovascular 'neurorescue' techniques include mechanical thrombus removal (using retrieval devices, aspiration catheters, and wire or balloon fragmentation) and local and intra-arterial thrombolysis. The treatment of acute thrombosis and dissection during carotid artery and stenting wilt also be discussed. Knowledge of these additional skills is essential to increasing the safety of carotid stenting procedures. (C) 2008 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.