Carotid artery stenting technique

Over the past 25 years carotid artery stenting (CAS) has emerged as an alternative to carotid endarterectomy (CEA). Most of all younger patients and symptomatic patients with contralateral carotid artery occlusion particularly benefit from CAS. To achieve an optimal result with CAS, patient selectio...

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Bibliographic Details
Published in:Herz 2013-11, Vol.38 (7), p.706-713
Main Authors: Schofer, J, Bijuklic, K
Format: Article
Language:ger
Subjects:
Blood Vessel Prosthesis - statistics & numerical data
Carotid Stenosis - mortality
Carotid Stenosis - surgery
Evidence-Based Medicine
Humans
Postoperative Complications - mortality
Prevalence
Prosthesis Implantation - methods
Risk Factors
Stents - statistics & numerical data
Survival Rate
Treatment Outcome
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Summary:Over the past 25 years carotid artery stenting (CAS) has emerged as an alternative to carotid endarterectomy (CEA). Most of all younger patients and symptomatic patients with contralateral carotid artery occlusion particularly benefit from CAS. To achieve an optimal result with CAS, patient selection and even more important, knowledge and experience of the interventionist is crucial. The periprocedural complication rate of CAS in large experienced centers is lower (2-3%) than those in randomized trials. Several different devices are now available which allow the procedure to be tailored according to patient anatomy and lesion complexity. Complications like hyperperfusion syndrome and intracerebral bleeding, rupture of side branches of the external or internal carotid artery as well as problems caused by slow flow can be widely avoided by adequate experience.
ISSN:1615-6692
DOI:10.1007/s00059-013-3962-4