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Device selection for carotid stenting: reviewing the evidence
Carlo Setacci1, Mariagnese Mele1, Gianmarco de Donato1
1a Department of Vascular and Endovascular Surgery , University of Siena , Siena , Italy.
Expert Review of Cardiovascular Therapy
|August 5, 2017
Summary
Carotid artery stenting (CAS) has improved stroke reduction for extracranial carotid artery disease. Selecting the right device for each patient is crucial for limiting procedure-related risks.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Neurology
Background:
- Carotid artery stenting (CAS) is a significant advancement in treating extracranial carotid atheromasic disease.
- Recent innovations in stents, protection devices, and stenting techniques have decreased stroke rates in CAS patients.
Purpose of the Study:
- To review current literature and evidence on new materials for carotid artery stenting.
- To emphasize the importance of appropriate device selection in CAS procedures.
Main Methods:
- Literature review of available materials and techniques in CAS.
- Synthesis of current evidence regarding device efficacy and safety.
Main Results:
- Technological advancements have led to reduced periprocedural stroke rates in CAS.
- The selection of appropriate devices is critical for successful outcomes.
Conclusions:
- A 'tailored approach,' matching devices to patient anatomy and clinical status, is essential.
- Optimizing device choice minimizes periprocedural events in CAS.
- Continued evolution of materials and techniques enhances CAS safety and effectiveness.
