Carotid stenting and transcranial Doppler monitoring: indications for carotid stenosis treatment.

Abstract:

BACKGROUND:Recently, angioplasty and stenting of carotid arteries (CAS) have taken the place of surgery. The aim of our study is to assess the role of transcranial Doppler (TCD) monitoring during CAS to address the embolic complications during the stages of the procedure, with or without embolic cerebral protection devices. METHODS:A total of 152 patients were submitted to carotid stenting. All patients were submitted to carotid arteries Duplex scanning. RESULTS:Neurological complications are related to TCD detection of corpuscolate signals in rapid succession. Even if no reduction of the overall incidence rate of microembolic signals (MES) was observed, a decrease in the number of corpuscolate emboli were recorded when a cerebral protection was working. CONCLUSIONS:According to our study, even in selected patients on the basis of preoperative diagnostic criteria, CAS is burdened by a nonnegligible risk of subclinical embolic ischemic events detected at TCD and confirmed by diffusion-weighted magnetic resonance imaging (DW-MRI).

journal_name

Vasc Endovascular Surg

authors

Gattuso R,Martinelli O,Alunno A,D'Angeli I,Felli M,Castiglione A,Izzo L,Gossetti B

doi

10.1177/1538574410375313

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

535-8

issue

7

eissn

1538-5744

issn

1938-9116

pii

1538574410375313

journal_volume

44

pub_type

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