Semin intervent Radiol 2013; 30(03): 288-296
DOI: 10.1055/s-0033-1353482
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Carotid Artery Stenting: Review of Technique and Update of Recent Literature

Sun Ho Ahn
1   Division of Interventional Radiology, Department of Diagnostic Imaging, Alpert Medical School of Brown University, Providence, Rhode Island
,
Ethan A. Prince
1   Division of Interventional Radiology, Department of Diagnostic Imaging, Alpert Medical School of Brown University, Providence, Rhode Island
,
Gregory J. Dubel
1   Division of Interventional Radiology, Department of Diagnostic Imaging, Alpert Medical School of Brown University, Providence, Rhode Island
› Author Affiliations
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Publication History

Publication Date:
13 September 2013 (online)

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Abstract

Stroke is the fourth leading cause of death and the number one cause of long-term disability in the United States. Carotid stenosis is an important cause of ischemic strokes, accounting for 20 to 25%. Previous studies have established carotid endarterectomy as standard of care of symptomatic patients with > 50% stenosis and asymptomatic patients with > 60% stenosis; recently, carotid artery stenting has emerged as an alternative treatment for carotid stenosis. Several studies have been published comparing carotid artery stenting with endarterectomy with mixed results. In this article, the authors discuss carotid artery stenting technique, the results from the most recent trials, and future directions.