Carotid artery stenosis causes up to 30% of ischemic stroke and it is a potentially
life-threatening pathology.
1
For “higher risk” patients, carotid artery stenting (CAS) has demonstrated similar
results in terms of 30-day stroke and death rates than carotid endarterectomy.
1
However, despite its less invasive nature, CAS embolic events can reach 90%.
1
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References
- Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy.Lancet. 2021; 398: 1065-1073
- Randomized comparison of distal and proximal cerebral protection during carotid artery stenting.JACC Cardiovasc Interv. 2013; 6: 1203-1209
- Common carotid artery endovascular clamping for neuroprotection during carotid stenting: flow-gate system as an innovative treatment approach.Catheter Cardiovasc Interv. 2021; 97: E71-E78
- A diffusion-weighted magnetic resonance imaging-based study of transcervical carotid stenting with flow reversal versus transfemoral filter protection.J Vasc Surg. 2012; 56: 1585-1590
- Cerebral embolic lesions detected with diffusion-weighted magnetic resonance imaging following carotid artery stenting: a meta-analysis of 8 studies comparing filter cerebral protection and proximal balloon occlusion.JACC Cardiovasc Interv. 2014; 7: 1177-1183
Article Info
Publication History
Published online: March 22, 2022
Footnotes
Funding: no.
Conflicts of Interest: no.
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