Embolic Protection

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  • The use of embolic protection devices (EPDs) when treating coronary saphenous vein bypass grafts, performing carotid arterial stenting and treating acute coronary syndromes is well accepted.

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    The use of embolic protection devices (EPDs) when treating coronary saphenous vein bypass grafts, performing carotid arterial stenting and treating acute coronary syndromes is well accepted.

    Embolic protection devices capture arteriosclerotic debris that is released during angioplasty and stenting. There is no doubt that these devices are an important part of the procedure. There is some evidence that use of embolic protection devices during carotid and saphenous vein graft interventions significantly reduces the peri-procedural complication rates.

    Reports of single-centre clinical series performed in native coronary arteries and renal arteries suggest that the use of embolic protection may increase the safety of these procedures. However, due to the low complication rates of these interventions without the use of embolic protection devices, large randomised trials are needed to statistically prove the clinical efficacy of these devices.

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