Abstract:
: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.
journal_name
Herzjournal_title
Herzauthors
Schofer J,Bijuklic Kdoi
10.1007/s00059-013-3962-4subject
Has Abstractpub_date
2013-11-01 00:00:00pages
706-13issue
7eissn
0340-9937issn
1615-6692journal_volume
38pub_type
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