Why the study?
Cerebral embolization remains a major drawback of carotid artery stenting, and preoperative carotid plaque morphological characteristics may substantially influence this complication risk.
How do preoperative carotid plaque morphological characteristics influence the risk of cerebral embolization during carotid artery stenting?
How do preoperative carotid plaque morphological characteristics influence the risk of cerebral embolization during carotid artery stenting?
Preoperative assessment of carotid plaque morphology is important for optimizing patient selection and procedural techniques to reduce the risk of cerebral embolization during carotid artery stenting.
Persistent embolization risk in CAS warrants refined patient selection; leaves open optimal integration of plaque morphology assessment.
Carotid artery stenting (CAS) represents today an accepted option for the treatment of severe carotid artery stenosis. The evolution of materials, techniques, perioperative medical management and patients' selection, has allowed to progressively reduce CAS complications. However, the main drawback of CAS is still represented by the risk of cerebral embolization, that may occur during several steps of the procedure and also in the early postoperative period. Preoperative carotid plaque morphological characteristics may have a great role in determining the risk of embolization during CAS. This review summarizes the current knowledge on carotid plaque characteristics that may influence the risk of complication during CAS. This information may be important for the optimization of CAS patients' selection and adaptation of the materials and techniques.
No takes yet. Share an insight, caveat, or question.
Squizzato et al. (2023) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: