Why the study?
The use of carotid artery stenting for carotid atherosclerosis is controversial and requires clear guidelines for patient selection and performance.
In patients requiring carotid revascularization, what are the indications for carotid artery stenting?
In patients requiring carotid revascularization, what are the indications for carotid artery stenting?
These guidelines restrict the use of carotid artery stenting to a specific subset of high-risk patients with symptomatic severe carotid stenosis contraindicated for endarterectomy or those under 70.
Favors endarterectomy over CAS for most patients; challenges routine stenting and narrows future trial populations to select high-risk subgroups.
The endovascular treatment of carotid atherosclerosis with carotid artery stenting (CAS) is controversial. The inter-collegiate Carotid Stenting Guidelines Committee (CSGC) recommends that CAS should not be performed in the majority of patients requiring carotid revascularization. CAS may be considered for specific high risk patients with symptomatic severe carotid stenosis who have contraindications for carotid endarterectomy, or in those under 70years of age where carotid re-vascularization is considered appropriate. Advances in endovascular technologies and the long-term results of randomized controlled trials will guide future revisions of these guidelines.
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A 2011 study conducted a review in Carotid atherosclerosis. Carotid artery stenting (CAS) vs. Carotid endarterectomy was evaluated. Carotid artery stenting should not be performed in most patients requiring revascularization, but may be considered for specific high-risk patients or those under 70 years of age.
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