Effectiveness of the Combined Use of Distal Filter Protection Device and Mo.Ma Ultra: Technical Note

Yosuke Moteki; Yasunari Niimi; Shinsuke Sato; Tatsuya Inoue; Shogo Shima; Yoshikazu Okada

doi:10.1016/j.jstrokecerebrovasdis.2016.07.003

Effectiveness of the Combined Use of Distal Filter Protection Device and Mo.Ma Ultra: Technical Note

J Stroke Cerebrovasc Dis. 2016 Nov;25(11):2627-2631. doi: 10.1016/j.jstrokecerebrovasdis.2016.07.003. Epub 2016 Jul 28.

Authors

Yosuke Moteki¹, Yasunari Niimi², Shinsuke Sato³, Tatsuya Inoue³, Shogo Shima³, Yoshikazu Okada³

Affiliations

¹ Department of Neuroendovascular Therapy, St. Luke's International Hospital, Tokyo, Japan. Electronic address: yomoteki@luke.ac.jp.
² Department of Neuroendovascular Therapy, St. Luke's International Hospital, Tokyo, Japan.
³ Department of Neurosurgery, St. Luke's International Hospital, Tokyo, Japan.

PMID: 27476338
DOI: 10.1016/j.jstrokecerebrovasdis.2016.07.003

Abstract

Background: Although Mo.Ma Ultra is an embolic protection device for interrupting the anterograde blood flow to the internal carotid artery, incomplete blood stagnation is often observed. We report the effectiveness of the combined use of a distal filter protection device and Mo.Ma Ultra (Medtronic, Minneapolis, MN).

Materials and methods: Our case series comprises 10 consecutive patients (11 carotid arteries) who underwent carotid artery stenting (CAS) using Mo.Ma Ultra and FilterWire EZ (Boston Scientific, Natick, MA).

Results: The superior thyroid artery originated from the proximal side of the bifurcation of the common carotid artery, except for 1 artery. Although complete blood stagnation was observed in 6 arteries, filter debris was detected in 3 of these 6 arteries. Positive postoperative findings on diffusion-weighted magnetic resonance imaging were observed in 3 cases (3 arteries). Only 1 patient had transient neurological deficits.

Conclusion: The combined use of a distal filter protection device and Mo.Ma Ultra could provide a more reliable embolic protection in CAS.

Keywords: Carotid artery stenting; FilterWire EZ; Mo.Ma Ultra; double protection.

MeSH terms

Aged
Aged, 80 and over
Angiography
Angioplasty, Balloon / adverse effects
Angioplasty, Balloon / instrumentation*
Carotid Arteries* / diagnostic imaging
Carotid Arteries* / physiopathology
Carotid Stenosis / complications
Carotid Stenosis / diagnostic imaging
Carotid Stenosis / physiopathology
Carotid Stenosis / therapy*
Cerebrovascular Disorders / diagnostic imaging
Cerebrovascular Disorders / etiology
Cerebrovascular Disorders / physiopathology
Cerebrovascular Disorders / prevention & control*
Diffusion Magnetic Resonance Imaging
Embolic Protection Devices*
Humans
Male
Middle Aged
Prosthesis Design
Regional Blood Flow
Stents*
Treatment Outcome