Figure 1.

(A) Severe restenotic lesion at the right common carotid artery bifurcation after carotid endarterectomy, involving the ostia of both the internal and the external carotid. (B) In view of the lesion severity and tortuosity, the use of an Angioguard filter was excluded in favour of a PercuSurge GuardWire temporary occlusion and aspiration system (magnified in panel C). The system was positioned and the balloon was inflated without causing clinical symptoms. After predilatation with a coronary balloon 2.5 × 20 mm (panel B), an Easy Wallstent (Boston Scientific) was positioned between the proximal segment of the right internal carotid artery and the distal segment of the right common carotid artery. (D) After postdilatation with a 6.0 × 30 mm balloon at a pressure of 8 atm, final angiography showed an optimal result.