Carotid artery stenting has emerged as a minimally invasive treatment for carotid artery stenosis with outcomes comparable to surgical management, though robust evidence on patient selection is lacking.
Does carotid artery stenting provide safe and effective treatment for carotid artery stenosis compared to surgical management?
Carotid artery stenting, particularly with new micromesh stent designs, offers a minimally invasive alternative to surgery with comparable outcomes, though optimal patient selection remains unclear.
PURPOSE OF REVIEW: To present the latest evidence about carotid artery stenting (CAS) including indications, safety, efficacy, and available equipment. RECENT FINDINGS: The micromesh stent, a new stent design which offers excellent flexibility and embolic protection, has been associated with promising outcomes. SUMMARY: CAS has emerged as a minimally invasive treatment method for carotid artery stenosis with comparable outcomes with surgical management. The implementation of new technology combined with operator experience has led to a paradigm shift; however, to date, no robust evidence exists about patient and lesion selection. Many studies are underway to clarify the technical aspects of CAS as well as the optimal treatment of carotid artery stenosis for each patient population.
Spiliοpoulos et al. (2019) conducted a review in Carotid artery stenosis. Carotid artery stenting (CAS) vs. Surgical management was evaluated. Carotid artery stenting has emerged as a minimally invasive treatment for carotid artery stenosis with outcomes comparable to surgical management, though robust evidence on patient selection is lacking.
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