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REVIEW  CAROTID STENTING AND ENDARTERECTOMY 

The Journal of Cardiovascular Surgery 2017 February;58(1):13-24

DOI: 10.23736/S0021-9509.16.09810-4

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Update on new stents and protection devices for carotid artery stenting: what we know, what we learnt recently and what we need to know

Dimitrios N. NIKAS 1, Xenofon MAKOS 1, Tomoyuki UMEMOTO 2, George LIAPPAS 3, Andrea PACCHIONI 4, Narek ZAKARIAN 5, Bernhard REIMERS 3

1 Cardiology Department, Ioannina University Hospital, Ioannina Medical School, Ioannina, Greece; 2 Cardiology Department, Tokyo Medical and Dental University Hospital, Tokyo, Japan; 3 Cardiology Department, Humanitas Research Hospital, Rozzano, Milan, Italy; 4 Cardiology Department, Mirano Public Hospital, Mirano, Venice, Italy; 5 Cardiology Department, Clinical Hospital, 1st Department for President Affairs, Moscow, Russia


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Carotid artery stenting (CAS) is considered an alternative option to carotid endarterectomy (CEA) for significant carotid stenosis, in both symptomatic and asymptomatic patients. Comparing to CEA, CAS offers significant advantages. The most important arise from the minimally invasive nature of the procedure, which reduces the surgical complications and adds significant comfort to the patient, without compromising the efficacy. Nowadays, CAS can achieve acute and long-term outcome results comparable to CEA, maintaining low rates of periprocedural embolic events. Evolution of the stent design and routine application of protection devices, played an important role to CAS performance. In this review, we aim to present all available new data on stent design and protection devices while we pose a set of unanswered questions that need to be addressed in the future.


KEY WORDS: Carotid arteries - Stents - Protective devices

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