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Correspondence| Volume 83, e3-e5, July 01, 2022

Common Carotid Artery Endovascular Clamping Associated to Flow Inversion for Neuroprotection Improves the Carotid Stenting Outcomes

Published:March 22, 2022DOI:https://doi.org/10.1016/j.avsg.2022.03.005
Common Carotid Artery Endovascular Clamping Associated to Flow Inversion for Neuroprotection Improves the Carotid Stenting Outcomes
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      Carotid artery stenosis causes up to 30% of ischemic stroke and it is a potentially life-threatening pathology.
      • Halliday A.
      • Bulbulia R.
      • Bonati L.H.
      • et al.
      ACST-2 Collaborative Group
      Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy.
      Lancet. 2021; 398: 1065-1073
      For “higher risk” patients, carotid artery stenting (CAS) has demonstrated similar results in terms of 30-day stroke and death rates than carotid endarterectomy.
      • Halliday A.
      • Bulbulia R.
      • Bonati L.H.
      • et al.
      ACST-2 Collaborative Group
      Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy.
      Lancet. 2021; 398: 1065-1073
      However, despite its less invasive nature, CAS embolic events can reach 90%.
      • Halliday A.
      • Bulbulia R.
      • Bonati L.H.
      • et al.
      ACST-2 Collaborative Group
      Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy.
      Lancet. 2021; 398: 1065-1073
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      References

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      Article Info

      Publication History

      Published online: March 22, 2022

      Footnotes

      Funding: no.

      Conflicts of Interest: no.

      Identification

      DOI: https://doi.org/10.1016/j.avsg.2022.03.005

      Copyright

      © 2022 Elsevier Inc. All rights reserved.

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