Preventable complications of carotid stenting
1Division of Vascular Surgery and Department of Radiology, Northwestern Memorial Hospital, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA. meskanda@nmh.org
Carotid artery stenting (CAS) is a viable alternative to carotid endarterectomy (CEA), but complications like stroke can occur. This review highlights common CAS problems and offers solutions to improve patient outcomes.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Neurosurgery
Background:
- Carotid artery stenting (CAS) has emerged as a feasible alternative to carotid endarterectomy (CEA).
- Advancements in CAS equipment and specialized training have facilitated its adoption.
- Despite its benefits, CAS carries inherent risks, including stroke and other unique complications.
Purpose of the Study:
- To review common complications associated with CAS.
- To provide potential solutions for preventable periprocedural issues.
- To increase awareness of anticipated and unanticipated risks in CAS.
Main Methods:
- Literature review of periprocedural complications in CAS.
- Analysis of reported adverse events and their management.
- Synthesis of strategies to mitigate risks.
Main Results:
- Stroke is a recognized complication of CAS.
- Various other unique problems can arise during or after the procedure.
- Preventable situations can complicate successful CAS outcomes.
Conclusions:
- Heightened awareness of CAS risks is crucial for successful procedures.
- Implementing preventative strategies can reduce periprocedural complications.
- Addressing both anticipated and unanticipated risks improves patient safety in CAS.
Related Concept Videos
Aneurysm III: Interprofessional Care
Peripheral Artery Disease V: Postoperative Nursing Management
Atherosclerosis IV: Nursing Management
Cardiac Catheterization II: Right Heart Catheterization
Cardiac Catheterization I: Pre-Procedure Overview
Arteries of the Head and Neck
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...


