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, Xenofon Makos, Tomoyuki Umemoto, George Liappas, Andrea Pacchioni, Narek Zakarian, Bernhard Reimers

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)13-24
Number of pages12
JournalJournal of Cardiovascular Surgery
Volume58
Issue number1
DOIs
Publication statusPublished - Jan 1 2017
Externally publishedYes

Keywords

  • Carotid arteries
  • Protective devices
  • Stents

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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