Key result
Stent-assisted balloon angioplasty requires different types of stents depending on the specific characteristics and anatomical location of the carotid artery lesion.
Stent selection in carotid artery stenting should be individualized based on the specific anatomical segment of the lesion.
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May support individualized stent selection in carotid lesions; leaves open need for prospective trials to guide practice.
Although some early reports describe angiographic as well as clinical success for balloon angioplasty alone in the treatment of carotid occlusive disease, most interventionists prefer stent-assisted balloon angioplasty because of the purported advantages, such as avoiding plaque dislodgement, intimal dissection, elastic vessel recoil and late restenosis. Mainly because of the different characteristics of each carotid artery segment, different types of stents are preferred. A carotid artery lesion located in the intrathoracic brachiocephalic trunc or common carotid artery would need a different stent to a lesion at the carotid bifurcation or a lesion of an intracerebral branch of the internal carotid artery.
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Maleux et al. (2002) conducted a review in Carotid occlusive disease. Carotid artery stenting was evaluated. Stent-assisted balloon angioplasty requires different types of stents depending on the specific characteristics and anatomical location of the carotid artery lesion.
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