Carotid arterial stenting
Updates to Article Attributes
Body
was changed:
Carotid arterial stenting (CAS) is a minimally invasive endovascular interventional procedure.
Indications
Indications of carotid stenting are evolving with endarterectomy trials.:
- symptomatic patients with at least 70% stenosis (NASCET Trial)
- asymptomatic patients with greater than 60% stenosis
- symptomatic patients with stenosis of at least 50
- 69-69% stenosis.
Contraindications
- complete carotid occlusion
- major disabling stroke on the ipsilateral side
/ disabling/disabling dementia - intracranial tumour
/ haemorrhage/haemorrhage - thick Calcification at the site of carotid stenosis
Complications
- preprocedural cerebrovascular accident
:- reported incidence is at
~ 8~8% 3
- reported incidence is at
- recurrent carotid arterial stenosis
:- reported incidence is at
~ 6~6% at 1 year 4
- reported incidence is at
Alternative interventional options
-<p><strong>Carotid arterial stenting (CAS)</strong> is a minimally invasive endovascular interventional procedure.</p><h4>Indications</h4><p>Indications of carotid stenting are evolving with endarterectomy trials.</p><ol>- +<p><strong>Carotid arterial stenting (CAS)</strong> is a minimally invasive endovascular interventional procedure.</p><h4>Indications</h4><p>Indications of carotid stenting are evolving with endarterectomy trials:</p><ol>
-<li>symptomatic patients with stenosis of at least 50 - 69% stenosis.</li>- +<li>symptomatic patients with stenosis of at least 50-69% stenosis.</li>
-<li>major disabling stroke on the ipsilateral side / disabling dementia</li>-<li>intracranial tumour / haemorrhage</li>- +<li>major disabling stroke on the ipsilateral side/disabling dementia</li>
- +<li>intracranial tumour/haemorrhage</li>
-<li>preprocedural <a href="/articles/stroke" title="Cerebrovascular accident (CVA)">cerebrovascular accident</a> :-<ul><li>reported incidence is at ~ 8% <sup>3</sup>- +<li>preprocedural <a href="/articles/stroke">cerebrovascular accident</a><ul><li>reported incidence is at ~8% <sup>3</sup>
-<li>recurrent carotid arterial stenosis :-<ul><li>reported incidence is at ~ 6 % at 1 year <sup>4</sup>- +<li>recurrent carotid arterial stenosis<ul><li>reported incidence is at ~6% at 1 year <sup>4</sup>
-</ul><h4>Alternative interventional options</h4><ul><li><a href="/articles/carotid-endarterectomy" title="carotid endarterectomy">carotid endarterectomy</a></li></ul><p></p>- +</ul><h4>Alternative interventional options</h4><ul><li><a href="/articles/carotid-endarterectomy">carotid endarterectomy</a></li></ul><p> </p>