Clinical study of stent forming for symptomatic internal carotid artery stenosis

Yiqin Zhang1,2, Wen'an Wang2, Qi Fang3

  • 1The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu.

Medicine
|June 23, 2020
PubMed

Insights

Carotid stenting is a safe and effective treatment for symptomatic internal carotid artery stenosis, improving patient outcomes and preventing ischemic events. This interventional therapy offers a high-quality alternative to conservative management for reducing stroke risk.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Stroke is a leading cause of death globally, with ischemic stroke accounting for 80% of cases.
  • Symptomatic internal carotid artery stenosis is a significant risk factor for ischemic stroke and recurrence.
  • Carotid artery disease poses a substantial health burden, particularly in Asian populations.

Purpose of the Study:

  • To analyze and evaluate the clinical application and efficacy of carotid stenting in patients with symptomatic internal carotid artery stenosis.
  • To compare carotid stenting with conservative treatment for managing this condition.
  • To provide evidence for selecting optimal clinical treatment strategies.

Main Methods:

  • Retrospective analysis of clinical data from patients undergoing carotid stenting versus conservative treatment.
  • Comparison of carotid stenosis rate, neurological symptoms (NIHSS), and daily living activities before and after treatment.
  • Utilized distal cerebral protection devices during angioplasty and stenting procedures.

Main Results:

  • Carotid stenting demonstrated safety and effectiveness in treating symptomatic internal carotid stenosis.
  • The procedure improved patient symptoms and prognosis, preventing ischemic events.
  • Interventional therapy offers a high-quality treatment approach, reducing disability and mortality.

Conclusions:

  • Carotid angioplasty and stenting, particularly with distal cerebral protection, is a safe and effective treatment for symptomatic internal carotid stenosis.
  • This interventional technique provides a valuable alternative to drug therapy for atherosclerotic stroke.
  • Promoting carotid stenting can significantly reduce stroke-related disability and mortality.

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