TY - JOUR
T1 - Update on new stents and protection devices for carotid artery stenting
T2 - What we know, what we learnt recently and what we need to know
AU - Nikas, Dimitrios N.
AU - Makos, Xenofon
AU - Umemoto, Tomoyuki
AU - Liappas, George
AU - Pacchioni, Andrea
AU - Zakarian, Narek
AU - Reimers, Bernhard
PY - 2017/1/1
Y1 - 2017/1/1
N2 - 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.
AB - 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.
KW - Carotid arteries
KW - Protective devices
KW - Stents
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U2 - 10.23736/S0021-9509.16.09810-4
DO - 10.23736/S0021-9509.16.09810-4
M3 - Review article
C2 - 27922252
AN - SCOPUS:85016101526
VL - 58
SP - 13
EP - 24
JO - Journal of Cardiovascular Surgery
JF - Journal of Cardiovascular Surgery
SN - 0021-9509
IS - 1
ER -