Carotid arterial stenting
Carotid arterial stenting (CAS) is a minimally invasive endovascular interventional procedure.
Indications of carotid stenting are evolving with endarterectomy trials.
- symptomatic patients with at least 70% stenosis (NASCET Trial)
- asymptomatic patients with greater than 60% stenosis
- symptomatic patients with stenosis of at least 50 - 69% stenosis.
- complete carotid occlusion
- major disabling stroke on the ipsilateral side / disabling dementia
- intracranial tumour / haemorrhage
- thick Calcification at the site of carotid stenosis
- preprocedural cerebrovascular accident :
- reported incidence is at ~ 8% 3
- recurrent carotid arterial stenosis :
- reported incidence is at ~ 6 % at 1 year 4
Alternative interventional options
- 1. Baerlocher MO, Stewart B, Asch MR et-al. Performance of carotid stenting, vertebroplasty, and EVAR: how many are we doing and why are we not doing more? A survey by the Canadian Interventional Radiology Association. Can Assoc Radiol J. 2008;59 (1): 22-9. - Pubmed citation
- 2. Sacks D, Connors JJ. Carotid stent placement, stroke prevention, and training. Radiology. 2005;234 (1): 49-52. doi:10.1148/radiol.2341041628 - Pubmed citation
- 3. Pelz D, Andersson T, Soderman M et-al. Advances in interventional neuroradiology 2005. Stroke. 2006;37 (2): 309-11. doi:10.1161/01.STR.0000201436.30248.ec - Pubmed citation
- 4. Gröschel K, Riecker A, Schulz JB et-al. Systematic review of early recurrent stenosis after carotid angioplasty and stenting. Stroke. 2005;36 (2): 367-73. doi:10.1161/01.STR.0000152357.82843.9f - Pubmed citation
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