eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors Publication charge Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
Search
Editorial Policies
Sarajevo Declaration on Integrity and Visibility of Scholarly Publications
4/2024
vol. 20
 
Share:
Send email
Share:
Short communication

MicroNET-covered stent ‘sandwich’ technique to seal carotid artery perforation in a highly-calcific lesion

Bogdan Januś
1
,
Wojciech Dziadek
1
,
Julia Kowalewska-Kempa
2
,
Jan Miękisz
3
,
Anna Szwiec
1
,
Jarosław Blicharz
1
,
Zbigniew Cholewa
4
,
Łukasz Tekieli
5, 6
,
Piotr Musialek
5, 6

  1. Department of Cardiology, St. Luke Regional Multispecialty Hospital, Tarnow, Poland
  2. Department of Radiology, St. Luke Regional Multispecialty Hospital, Tarnow, Poland
  3. General and Vascular Surgery Clinic, Diagnostic and Therapeutic Center, Tarnow, Poland
  4. Department of Anesthesia and Intensive Therapy, St. Luke Regional Multispecialty Hospital, Tarnow, Poland
  5. Department of Cardiac and Vascular Diseases, Jagiellonian University, Krakow, Poland
  6. St. John Paul II Hospital, Stroke-Thrombectomy Capable Center, Krakow, Poland
Adv Interv Cardiol 2024; 20, 4 (78): 494–499
DOI: https://doi.org/10.5114/aic.2024.146610
Online publish date: 2024/12/31
Article file
- MicroNet.pdf  [0.49 MB]
Get citation
 
 
1. Musialek P, Rosenfield K, Siddiqui AH, Grunwald IQ. Carotid stenosis and stroke: medicines, stents, surgery-”wait-and-see” or protect? Thromb Haemost 2024; 124: 815-27.
2. Tekieli L, Dzierwa K, Grunwald IQ, et al. Outcomes in acute carotid-related stroke eligible for mechanical reperfusion: SAFEGUARD-STROKE Registry. J Cardiovasc Surg 2024; 65: 231-48.
3. Musialek P, Bonati LH, Bulbulia R, et al. Stroke risk management in carotid atherosclerotic disease: a clinical consensus statement of the ESC Council on Stroke and the ESC Working Group on Aorta and Peripheral Vascular Diseases. Cardiovasc Res 2023 Aug 25:cvad135.
4. Musialek P. Proximal embolic protection with the Mo.Ma Ultra Device: a “must know how” for competent carotid artery stenting. Endovascular Today 2024; 23: 30-2.
5. Mazurek A, Malinowski K, Rosenfield K, et al.; CARMEN (CArotid Revascularization Systematic Reviews and MEta-aNalyses) Investigators. Clinical outcomes of second- versus first-generation carotid stents: a systematic review and meta-analysis. J Clin Med 2022; 11: 4819.
6. Musialek P, Langhoff R, Stefanini M, Gray WA. Carotid stent as cerebral protector: the arrival of Godot. J Cardiovasc Surg 2023; 64: 555-60.
7. Mazurek A, Malinowski K, Sirignano P, et al. CArotid Revascularization systematic reviews and MEta-aNalyses (CARMEN) Collaborators. Carotid artery revascularization using second generation stents versus surgery: a meta-analysis of clinical outcomes. J Cardiovasc Surg 2023; 64: 570-82.
8. Dawood M, Elwany M, Abdelgawad H, et al. Coronary calcifications, the Achilles heel in coronary interventions. Adv Interv Cardiol 2024; 20: 1-17.
9. Mazurek A, Partyka L, Trystula M, et al. Highly-calcific carotid lesions endovascular management in symptomatic and increased-stroke-risk asymptomatic patients using the CGuard dual-layer carotid stent system: analysis from the PARADIGM study. Catheter Cardiovasc Interv 2019; 94: 149-56.
10. Musialek P, Roubin GS. Double-layer carotid stents: from the clinical need, through a stent-in-stent strategy, to effective plaque isolation… the Journey Toward Safe Carotid Revascularization Using the Endovascular Route. J Endovasc Ther 2019; 26: 572-7.
11. Tekieli L, Afanasjev A, Mazgaj M, et al. A multi-center study of the MicroNET-covered stent in consecutive patients with acute carotid-related stroke: SAFEGUARD-STROKE. Adv Interv Cardiol 2024; 20: 172-93.
12. Nicosia A, Nikas D, Castriota F, et al. Classification for carotid artery stenting complications: manifestation, management, and prevention. J Endovasc Ther 2010; 17: 275-94.
13. Lehmann MF, Musialek P. MicroNET-covered stent use to seal carotid artery perforation. Adv Interv Cardiol 2023; 19: 284-8.
14. Dieter RS, Ikram S, Satler LF, et al. Perforation complicating carotid artery stenting: the use of a covered stent. Catheter Cardiovasc Interv 2006; 67: 972-5.
15. Murarka S, Hatler C, Heuser RR. Polytetrafluoroethylene-covered stents: 15 years of hope, success and failure. Expert Rev Cardiovasc Ther 2010; 8: 645-50.
16. Fogarassy G, Apró D, Veress G. Successful sealing of a coronary artery perforation with a mesh-covered stent. J Invasive Cardiol 2012; 24: E80-3.
17. Romaguera R, Gomez-Hospital JA, Cequier A. Novel use of the MGuard mesh-covered stent to treat coronary arterial perforations. Catheter Cardiovasc Interv 2012; 80: 75-8.
18. Schofer J, Musialek P, Bijuklic K, et al. A prospective, multicenter study of a novel mesh-covered carotid stent: the CGuard CARENET Trial (Carotid Embolic Protection Using MicroNet). JACC Cardiovasc Interv 2015; 8: 1229-34.
19. Wissgott C, Schmidt W, Brandt-Wunderlich C, et al. Clinical results and mechanical properties of the carotid CGUARD double-layered embolic prevention stent. J Endovasc Ther 2017; 24: 130-7.
20. Karpenko A, Bugurov S, Ignatenko P, et al. Randomized controlled trial of conventional versus MicroNet-covered stent in carotid artery revascularization. JACC Cardiovasc Interv 2021; 14: 2377-87.
21. Musialek P, Mazurek A, Trystula M, et al. Novel PARADIGM in carotid revascularisation: prospective evaluation of All-comer peRcutaneous cArotiD revascularisation in symptomatic and Increased-risk asymptomatic carotid artery stenosis using CGuard™ MicroNet-covered embolic prevention stent system. EuroIntervention 2016; 12: e658-70.
22. Musialek P, Tekieli L, Umemoto T. Carotid antiembolic (“Mesh”) stents: not created equal. J Soc Cardiovasc Angiogr Interv 2024; 3: 102429.
23. Broadbent LP, Moran CJ, Cross DT 3rd, Derdeyn CP. Management of ruptures complicating angioplasty and stenting of supraaortic arteries: report of two cases and a review of the literature. AJNR Am J Neuroradiol 2003; 24: 2057-61.
24. Mazurek A, Borratynska A, Malinowski KP, et al. MicroNET-covered stents for embolic prevention in patients undergoing carotid revascularisation: twelve-month outcomes from the PARADIGM study. EuroIntervention 2020; 16: e950-2.
25. Karpenko A, Bugurov S, Ignatenko P, et al. Randomized controlled trial of conventional versus MicroNet-covered stent in carotid artery revascularization: 12-month outcomes. JACC Cardiovasc Interv 2023; 16: 878-80.
26. Musialek P, Mazurek A, Kolvenbach R, et al. 5-year clinical and ultrasound outcomes in CARENET prospective multicenter trial of CGuard MicroNET-covered carotid stent. JACC Cardiovasc Interv 2022; 15: 1889-91.
27. Bates ER, Babb JD, Casey DE, et al. ACCF/SCAI/SVMB/SIR/ASITN clinical expert consensus document on carotid stenting. J Am Coll Cardiol 2007; 49: 126-70.
28. Cosottini M, Michelassi MC, Bencivelli W, et al. In stent restenosis predictors after carotid artery stenting. Stroke Res Treat 2010; 2010: 864724.
29. Kang J, Hong JH, Kim BJ, et al. Residual stenosis after carotid artery stenting: Effect on periprocedural and long-term outcomes. PLoS One 2019; 14: e0216592.
30. Lai PMR, Baig AA, Khawar WI, et al. Residual in-stent carotid stenosis and cigarette smoking are independent predictors of carotid restenosis after carotid artery stenting-results from 738 carotid artery stenting procedures at a single center. Neurosurgery 2023 [e-pub ahead of print].
31. Schillinger M, Dick P, Wiest G, et al. Covered versus bare self-expanding stents for endovascular treatment of carotid artery stenosis: a stopped randomized trial. J Endovasc Ther 2006; 13: 312-9.
32. Blackman DJ, Choudhury RP, Banning AP, Channon KM. Failure of the Symbiot PTFE-covered stent to reduce distal embolization during percutaneous coronary intervention in saphenous vein grafts. J Invasive Cardiol 2005; 17: 609-12.
33. Singh J, Kuhn AL, Massari F, et al. Intravascular lithotripsy for severely calcified carotid artery stenosis – a new frontier in carotid artery stenting? Interv Neuroradiol 2023; 29: 768-72.
Copyright: © 2024 Termedia Sp. z o. o. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Termedia
About us Contact
Copyright notice Privacy policy Advertising policy Contact us
Quick links
Journals Books eBooks Events
© 2025 Termedia Sp. z o.o.
Developed by Bentus.