Key result
Endovascular surgery shows high efficacy and safety for complex ICA stenosis in multifocal atherosclerosis.
Why the study?
Patients with multifocal atherosclerotic lesions are often denied surgical treatment due to high complication risks, leaving endovascular surgery as often their only option.
Does endovascular surgery provide effective and safe treatment for patients with complex stenotic lesions of the internal carotid artery who are denied open surgery?
Does endovascular surgery provide effective and safe treatment for patients with complex stenotic lesions of the internal carotid artery who are denied open surgery?
Endovascular surgery is a viable and effective alternative for patients with complex internal carotid artery stenosis who are ineligible for open surgical treatment.
May support endovascular options for patients denied open surgery; leaves open need for prospective randomized confirmation.
In most cases, patients with multifocal atherosclerotic lesions, including brachiocephalic arteries, are denied surgical treatment due to the high risks of intra- and postoperative complications. Despite the severe stenotic lesion of the carotid arteries, which can lead to such a major complication as ischemic stroke, in most cases surgeons refuse to perform the operation. Endovascular surgery is often the only option for these patients. After analyzing the world experience in the treatment of hemodynamically significant lesions of the arteries of the brachiocephalic basin and applying in practice various methods of endovascular interventions in patients with complex stenotic lesions of the internal carotid arteries, we were convinced that endovascular correction of such lesions is often the main method of treatment for patients with multifocal atherosclerosis, and can also be used as a primary method of treatment, as it demonstrates high effectiveness, low risk of complications and good long-term results.
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Beliy et al. (2022) conducted a review in Multifocal atherosclerotic lesions and complex stenotic lesions of the internal carotid artery. Endovascular surgery was evaluated. Endovascular surgery for complex stenotic lesions of the internal carotid artery in patients with multifocal atherosclerosis demonstrates high effectiveness and low risk of complications.
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