Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 2013 February;54(1) > The Journal of Cardiovascular Surgery 2013 February;54(1):61-6

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,179


eTOC

 

  ADVANCES IN CAROTID ARTERY STENTING


The Journal of Cardiovascular Surgery 2013 February;54(1):61-6

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English

Carotid artery stenting in recently symptomatic patients

Setacci C., de Donato G., Setacci F., Sirignano P., Galzerano G., Borrelli M. P., Cappelli A.

Unit of Vascular and Endovascular Surgery, Department of Surgery, University of Siena, Siena, Italy


PDF  


Treatment of acute stroke is time-dependent, with the best outcomes resulting from the earliest interventions. However, for patients with acute ischemic stroke due to a high-grade stenosis of the internal carotid artery, despite maximal medical treatment, an effective intervention to improve their neurologic symptoms and clinical outcome has not yet been established. There are two major concerns: first, cerebral revascularization in the acute stage remains challenging because of the possibility that hemorrhagic infarction or hyperperfusion syndrome will occur after revascularization; second, alarms about carotid artery stenting in patients with acute symptoms are related to the fact that, while with carotid endarterectomy the plaque is completely removed, after stenting it is only remodelled and its stabilization is essential to avoid embolic events during the procedure and in the post-operative period. Although level 1 evidence seems clearly in favor of carotid endarterectomy in symptomatic patients, carotid stenting has been proposed as a possible alternative in selected cases if the procedure is performed in high-volume center with documented low perioperative stroke and death rates. This review summarizes indications and results for carotid artery stenting in recently symptomatic patients.

top of page

Publication History

Cite this article as

Corresponding author e-mail

setacci@unisi.it