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Volume 20, Issue 1 , Pages 9-16 , January 2009

Clinical Predictors of Transient Ischemic Attack, Stroke, or Death within 30 Days of Carotid Artery Stent Placement with Distal Balloon Protection

Yasuhiro Kawabata, MD
- Department of Neurosurgery, Hamamatsu Rosai Hospital, Shizuoka, Japan
Nobuyuki Sakai, PhD, MD
- Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan
- Address correspondence to N.S., Department of Neurosurgery, Kobe City Medical Center General Hospital, 4-6 Minatojimanaka-machi, Chuo-ku, Kobe 650-0046, Japan
Izumi Nagata, MD, PhD
- Department of Neurosurgery, Nagasaki University Hospital, Nagasaki, Japan
Fumihiko Horikawa, MD
- Department of Neurosurgery, Hamamatsu Rosai Hospital, Shizuoka, Japan
Hidenori Miyake, PhD, MD
- Department of Neurosurgery, Hamamatsu Rosai Hospital, Shizuoka, Japan
Yasushi Ueno, PhD, MD
- Department of Neurosurgery, Hamamatsu Rosai Hospital, Shizuoka, Japan
- Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan
Haruhiko Kikuchi, MD, PhD
- Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan

Received 25 October 2007 ,Revised 5 October 2008 ,Accepted 6 October 2008.

The Tranvas device is 2.7 F in diameter and consists of a percutaneous transluminal angioplasty balloon on the proximal side (arrow) and a silicone protective balloon on the distal side (arrowhead).

The Tranvas device is 2.7 F in diameter and consists of a percutaneous transluminal angioplasty balloon on the proximal side (arrow) and a silicone protective balloon on the distal side (arrowhead).
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Severe right internal carotid artery stenosis above the bifurcation. Selective digital subtraction angiography was performed after the guiding catheter was placed in the common carotid artery.

Severe right internal carotid artery stenosis above the bifurcation. Selective digital subtraction angiography was performed after the guiding catheter was placed in the common carotid artery.
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The GuardWire has been placed across the lesion and the protection balloon (arrowhead) inflated.

The GuardWire has been placed across the lesion and the protection balloon (arrowhead) inflated.
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Inflation of the angioplasty balloon (Amiia; 5 mm × 40 mm) under cerebral protection.

Inflation of the angioplasty balloon (Amiia; 5 mm × 40 mm) under cerebral protection.
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Final result after balloon angioplasty and placement of a 10-mm × 40-mm stent in the right internal carotid artery.

Final result after balloon angioplasty and placement of a 10-mm × 40-mm stent in the right internal carotid artery.
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