Neurological Outcome of Stenting in Carotid Occlusive Diseases

Background:Carotid artery stenting (CAS)has become widely available and considered as an alternative to carotid endartectomy .Objective: To compare CAS under protection device with medical treatment. Material and method: fifty patients were enrolled in these study (30 patients treated with carotid stenting and 20 patients managed medically) with stenosis > 60%.with follow up at six months later clinically and radiologically using carotid duplex .Result:After 6 months 4(13.4%) patients in CAS group develop TIA while in medically treated group 6(30%) patients, 1(3.3%) patient in CAS group develop stroke which was after procedure while 6(30%) patients in medically treated group develop stroke during follow up within 6 months, 1(3.3%) patient die in CAS group due to myocardial infarction, while in medically treated group 2(10%) patients died one of them due to large stroke and the other due to myocardial infarction. There was high significant difference between CAS and medical treated group after 6 months (p<0.01).Conclusion: CAS under protection device is associated with better outcome than medical treatment.Â