Realizing the potential of carotid artery stenting: proposed paradigms for patient selection and procedural technique.

Abstract:

:Carotid artery stenting, compared with carotid endarterectomy, is emerging as an effective and less invasive method of revascularization for extracranial carotid artery stenosis. Carotid stenting is established as the treatment of choice for certain high-risk patient subsets, and ongoing clinical trials are evaluating this method across a broader clinical spectrum, including asymptomatic patients. For carotid stenting to reach its full potential, an acceptable risk of periprocedural complications, particularly in low-risk patients, must be ensured (the "3% rule"). The present article provides an in-depth review of carotid stenting, with special emphasis on the process of risk stratification pertaining to clinical, anatomic, and procedural considerations necessary to optimize procedural safety and patient outcomes.

journal_name

Circulation

journal_title

Circulation

authors

Roubin GS,Iyer S,Halkin A,Vitek J,Brennan C

doi

10.1161/CIRCULATIONAHA.105.595512

subject

Has Abstract

pub_date

2006-04-25 00:00:00

pages

2021-30

issue

16

eissn

0009-7322

issn

1524-4539

pii

113/16/2021

journal_volume

113

pub_type

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