Outcomes of carotid stenting among symptomatic patients: a contemporary review
Suman Annambhotla1, Mark K Eskandari
1Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
Insights
Carotid artery stenting is a viable alternative to carotid endarterectomy for symptomatic patients, offering comparable outcomes for stroke prevention. This review examines key trials comparing these interventions for carotid artery stenosis.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Cardiology
Background:
- Strokes significantly impact healthcare economics and patient quality of life.
- Embolic phenomena, often from carotid atheromatous plaque, are a primary cause of stroke.
- Carotid endarterectomy is the traditional treatment for symptomatic carotid artery stenosis.
Purpose of the Study:
- To describe the outcomes of carotid artery stenting in symptomatic patients.
- To examine clinical trials comparing carotid stenting with carotid endarterectomy.
- To evaluate treatment options for symptomatic carotid artery stenosis.
Main Methods:
- Review of clinical trials and outcome data for carotid stenting.
- Comparison of carotid stenting versus carotid endarterectomy.
- Analysis of patient populations with symptomatic carotid artery stenosis.
Main Results:
- Carotid artery stenting has emerged as an accepted alternative to carotid endarterectomy.
- The article details outcomes associated with carotid stenting procedures.
- Comparative trial data on treatment efficacy is examined.
Conclusions:
- Carotid stenting offers a valuable alternative treatment for symptomatic carotid artery stenosis.
- Evidence from trials supports the role of stenting in stroke prevention.
- Further examination of treatment outcomes is crucial for patient management.
Abstract:
Strokes have an extremely significant socioeconomic impact on the healthcare industry with a resultant poor quality of life. The majority of strokes result from embolic phenomenon, a third originating from carotid atheromatous plaque. The gold-standard treatment for symptomatic carotid artery stenosis has been carotid endarterectomy; however, carotid artery stenting over the last decade has become an increasingly accepted and performed alternative. This article describes the outcomes of carotid stenting among symptomatic patients and examines the trials that have been performed regarding the treatment options.
Related Concept Videos
Coronary Artery Disease V: Interprofessional Care
Atherosclerosis III: Management
Angina IV: Management
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Peripheral Artery Disease III: Interprofessional Care
Acute Coronary Syndrome IV: Interprofessional Care

