[Carotid stenting--stratification of the acute phase, indications in secondary prevention from the neurological...

The progress in the technical procedures of stenting in the ICA and the growing expertise in this field need primary multidisciplinary efforts for improving both, indication and periinvasive management of stroke patients. From a neurological point of view in the acute stroke there is an indication on the single case basis, only, e.g. in crescendo-TIA and given TEA-indication but without operability given in the patient. Later on, the stenting should be taken into account only after complex neurovascular workup, incl. CMRT with DWI and PWI, interdisciplinary definitive indication and qualified periinvasive management, i.e., apparative monitoring and neurological examination, e.g., on a stroke unit. Some indications emerge from the present expertise: re-stenosis after TEA, radiogenic stenosis, given indication for TEA, but no operability for technical reasons, e.g. distal ICA-stenosis, or class III or IV risk patients. The contraindications remain to be clarified.