Article
Medicine, General & Internal
Alison Halliday, Richard Bulbulia, Leo H. Bonati, Johanna Chester, Andrea Cradduck-Bamford, Richard Peto, Hongchao Pan
Summary: The international multicentre randomised trial ACST-2 compared the effects of CAS and CEA for asymptomatic patients with severe stenosis, showing that the long-term effects of these two procedures on fatal or disabling stroke are comparable.
Article
Multidisciplinary Sciences
Dat Tin Nguyen, Boldizsar Voko, Balazs Bence Nyaradi, Tamas Munkacsi, Akos Berczi, Zoltan Voko, Edit Dosa
Summary: This study evaluated the long-term outcomes of carotid endarterectomy (CEA) and carotid artery stenting (CAS) in patients who underwent both procedures on different sides. The results showed a higher risk of restenosis for CEA compared to CAS.
Article
Clinical Neurology
Yunlu Tao, Yang Hua, Lingyun Jia, Liqun Jiao, Beibei Liu
Summary: Factors influencing residual stenosis after carotid artery stenting include closed-loop stents, irregular plaques, and plaques with calcification as independent risk factors, while a high radial expansion rate of stents acts as a protective factor. The incidence of restenosis is higher in the group with residual stenosis compared to the group without residual stenosis after 1-year follow-up.
FRONTIERS IN NEUROLOGY
(2021)
Article
Neuroimaging
Francesco Diana, Michele Romoli, Giada Toccaceli, Aymeric Rouchaud, Charbel Mounayer, Daniele Giuseppe Romano, Francesco Di Salle, Paolo Missori, Andrea Zini, Diana Aguiar de Sousa, Simone Peschillo
Summary: Emergent carotid artery stenting (eCAS) appears to be associated with better functional outcomes compared to no-stenting approach in patients with acute ischemic stroke and tandem occlusion. However, eCAS carries a higher risk of symptomatic intracerebral hemorrhage.
JOURNAL OF NEUROINTERVENTIONAL SURGERY
(2023)
Article
Clinical Neurology
Rawad Abbas, Fadi Al Saiegh, Kareem El Naamani, Ching-Jen Chen, Lohit Velagapudi, Georgios S. Sioutas, Joshua H. Weinberg, Stavropoula Tjoumakaris, M. Reid Gooch, Nabeel A. Herial, Robert H. Rosenwasser, Pascal Jabbour
Summary: The study evaluated the operational learning curve for robot-assisted carotid artery stenting and found that the procedure was safe and effective, with the learning curve overcome within a short period of time at a high-volume cerebrovascular center.
NEUROSURGICAL FOCUS
(2022)
Article
Surgery
Paola Batarseh, Michael Parides, Matthew Carnevale, Jeffrey Indes, Evan Lipsitz, Issam Koleilat
Summary: Limited data are available to guide the choice of intervention for patients with radiation-induced carotid stenosis (RICS). The purpose of the present study was to evaluate patients who had undergone these carotid artery interventions for RICS and the associated outcomes. Results showed that RICS patients treated by TCAR in the SVS VQI had the lowest risk.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Multidisciplinary Sciences
Wen-Xin Wang, Ting Wang, Lin Ma, Zheng-Hui Sun, Ge-Sheng Wang, Xin Lou
Summary: This study found a relationship between new-onset DWI lesions and changes in CBF before and after CAS in patients with symptomatic unilateral carotid stenosis. Patients in the micro-embolism group may experience a loss of CBF regulation due to long-term hypoperfusion prior to stenting, rather than direct changes in cerebral hemodynamics.
SCIENTIFIC REPORTS
(2021)
Article
Clinical Neurology
Ricardo A. Domingo, Krishnan Ravindran, Rabih G. Tawk
Summary: Management options for carotid stenosis include medical management, carotid endarterectomy, carotid stenting with distal filter protection, or stenting with either flow arrest or flow reversal techniques. TCAR represents a hybrid approach with lower risk compared to transfemoral stenting and less risk of cranial neuropathy compared to carotid endarterectomy. The direct access to the carotid artery in TCAR can avoid the challenging anatomy of the aortic arch with endovascular devices.
OPERATIVE NEUROSURGERY
(2021)
Article
Surgery
Bahaa Nasr, Valentin Crespy, Edouard Penasse, Marine Gaudry, Eugenio Rosset, Patrick Feugier, Yann Goueffic, Blandine Maurel, Aurelien Hostalrich, Pierre Alric, Nirvana Sadaghianloo, Nicla Settembre, Jacques Chevallier, Sabrina Ben Ahmed, Pierre Gouny, Eric Steinmetz
Summary: This study reports the long-term outcomes of carotid artery stenting (CAS) for radiation therapy-induced carotid stenosis. The results show that CAS is an effective option for patients not suitable for carotid endarterectomy, with low rates of neurological events and reinterventions at long-term follow-up.
JOURNAL OF ENDOVASCULAR THERAPY
(2022)
Article
Surgery
Umberto Marcello Bracale, Antonio Peluso, Ernesto Di Mauro, Luca Del Guercio, Maria Donata Di Taranto, Nicola Giannotta, Nicola Ielapi, Michele Provenzano, Michele Andreucci, Raffaele Serra
Summary: This study evaluated the efficacy of carotid endarterectomy (CEA) and carotid artery stenting (CAS) with the Roadsaver (R) stent device for the treatment of severe carotid stenosis (CS). The results showed that while CEA remains the preferred method, CAS with the new double layer micromesh stent can be considered a useful and safe alternative in certain clinical conditions.
ANNALS OF VASCULAR SURGERY
(2022)
Review
Cardiac & Cardiovascular Systems
Christopher J. White, Thomas G. Brott, William A. Gray, Donald Heck, Tudor Jovin, Sean P. Lyden, David Christopher Metzger, Kenneth Rosenfield, Gary Roubin, Ravish Sachar, Adnan Siddiqui
Summary: Significant advances have been made in carotid artery stenting (CAS), including new trial data, professional societal statements, techniques, and devices. The improved selection of CAS candidates and assessment of procedure risk have led to better outcomes.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Clinical Neurology
Joshua H. Weinberg, Ahmad Sweid, Kalyan Sajja, Reid Gooch, Nabeel Herial, Stavropoula Tjoumakaris, Robert H. Rosenwasser, Pascal Jabbour
Summary: The study demonstrated the feasibility and safety of CorPath GRX robotic-assisted transradial carotid artery stenting compared with manual procedures. Further research with larger cohorts is needed to confirm its performance and benefits for patients.
JOURNAL OF NEUROSURGERY
(2021)
Article
Clinical Neurology
Salomeh Keyhani, Eric M. Cheng, Katherine Hoggatt, Peter C. Austin, Erin Madden, Paul L. Hebert, Ethan A. Halm, Ayman Naseri, Jason Johanning, Ann Abraham, Dawn M. Bravata
Summary: This study compared carotid artery stenting (CAS) to medical therapy (MT) in the treatment of asymptomatic carotid stenosis and found no difference in the risk of fatal and nonfatal stroke between the two treatment methods over a 5-year follow-up period.
Review
Cardiac & Cardiovascular Systems
Christopher J. White, Thomas G. Brott, William A. Gray, Donald Heck, Tudor Jovin, Sean P. Lyden, David Christopher Metzger, Kenneth Rosenfield, Gary Roubin, Ravish Sachar, Adnan Siddiqui
Summary: Significant advances have been made in the field of carotid artery stenting, with new trial data, professional statements, new techniques, and better candidate selection methods. The outdated coverage decision regarding CAS should be updated to approve CAS in selected symptomatic and asymptomatic patients for stroke prevention. Optimized CAS strategies and new technologies are leading to improved outcomes in CAS procedures.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2021)
Article
Clinical Neurology
Robert Forbrig, Yigit Ozpeynirci, Thomas David Fischer, Christoph G. G. Trumm, Thomas Liebig, Robert Stahl
Summary: This study provides detailed dosimetrics and proposes diagnostic reference levels for fluoroscopically guided endovascular carotid artery stenting. The results show variations in dose distribution for different indications and procedures. The number of angioplasty maneuvers significantly affects the radiation dose.
CLINICAL NEURORADIOLOGY
(2023)