Protective or Pretentious? A Critical Appraisal of Embolic Protection Devices in Carotid Artery Stenting: Four-year Experience From a High-volume Tertiary Centre
This retrospective analysis compares clinical outcomes of carotid artery stenting with and without embolic protection devices, indicating implications for improved procedural safety.
Key Points
The aim is to compare clinical outcomes of carotid artery stenting with and without embolic protection devices in patients.
Conducted a retrospective analysis of 63 patients undergoing carotid artery stenting from May 2020 to April 2024.
Divided patients into two groups: one using embolic protection devices (43 patients) and one without (20 patients).
Evaluated clinical parameters, complications, hospital stay, and short-term outcomes.
The EPD group had a lower incidence of periprocedural transient ischaemic attacks and myocardial infarctions.
Silent cerebral embolic lesions were reduced in the EPD group as shown by MRI.
Patients with EPDs had shorter hospital and ICU stays.