Article
Multidisciplinary Sciences
Cheng-Hsuan Tsai, Ying-Hsien Chen, Mao-Shin Lin, Ching-Chang Huang, Chi-Sheng Hung, Chih-Fan Yeh, Sheng-Fu Liu, Sung-Chun Tang, Chi-Chao Chao, Hsien-Li Kao
Summary: This study aimed to evaluate the peri-procedural risk in CANO patients receiving CAS and found that CAS is safe for patients with CANO, with a similar low 30-day peri-procedural event rate comparable to those of non-CANO patients.
SCIENTIFIC REPORTS
(2021)
Article
Clinical Neurology
Laura K. Reed, Anthony Nguyen, Jose M. Soto, T. Matthew Robinson, Jason H. Huang, Awais Z. Vance
Summary: The study aimed to identify significant risk factors for major complications following contemporary CAS. Multivariable logistic regression found age, race, and hyponatremia significantly associated with stroke, while hyponatremia was associated with MI. Age, anemia, hypoalbuminemia, international normalized ratio, and emergency case were associated with death. These results suggest that preoperative risk stratification of CAS patients may not be straightforward, with each adverse event having its own risk factors.
WORLD NEUROSURGERY
(2022)
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
Surgery
Soledad Perez-Sanchez, Ana Barragan Prieto, Miguel Angel Gamero Garcia, Francisco Moniche, Alejandro Tomasello, Fernando Delgado-Acosta, Alejandro Gonzalez, Joan Montaner
Summary: This study aims to explore independent risk factors for cerebrovascular events following CAS. The main findings indicate that female sex and diabetes are strong predictors for the development of complications after symptomatic CAS.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Multidisciplinary Sciences
Yaxuan Sun, Yongxia Ding, Kun Meng, Bin Han, Jing Wang, Yan Han
Summary: This study found that carotid artery endarterectomy (CEA) and carotid artery stenting (CAS) resulted in similar outcomes for patients with contralateral carotid occlusion (CCO), with the risk of death being lower for patients treated with CEA. Further high-level evidence is needed to confirm these results.
Article
Surgery
Steven Goicoechea, Martin Walsh, Michael Soult, Pegge M. Halandras, Carlos Bechara, Bernadette Aulivola, Paul R. Crisostomo
Summary: This study used data from the American College of Surgeons National Surgical Quality Improvement Program database to explore the impact of gender on postoperative complications in patients undergoing carotid endarterectomy (CEA) or carotid artery stenting (CAS). The results showed that in asymptomatic patients, female gender was associated with higher rates of cerebrovascular accident/stroke, readmission, bleeding complications, and urinary tract infection. In symptomatic patients, female gender was associated with higher rates of CVA/stroke, bleeding complications, and urinary tract infection, while having a lower rate of pneumonia. Randomized control trials should include an adequate number of female patients to better understand the gender disparities in carotid intervention.
JOURNAL OF VASCULAR SURGERY
(2022)
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.
Article
Cardiac & Cardiovascular Systems
Shuqi Ren, Qijia Liu, Zengsheng Chen, Xiaoyan Deng, Anqiang Sun, Jingyuan Luan
Summary: This study simulated and evaluated the influence of endarterectomy and stenting on the hemodynamic environments in the carotid artery and distal carotid siphon arteries. The carotid web significantly affects the flow environments in the carotid artery, and both treatments can diminish the side effects of the web and are feasible choices for web patients in terms of hemodynamics.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Surgery
Adele Heib, Heepeel Chang, Caron Rockman, Virendra Patel, Glenn Jacobowitz, Michael Barfield, Jeffrey J. Siracuse, Peter Faries, Patrick J. Lamparello, Neal Cayne, Thomas Maldonado, Karan Garg
Summary: The objective of this study was to evaluate the periprocedural effect of P2Y(12) inhibitors for carotid stenting procedures. The results showed that patients on P2Y(12) inhibitors had significantly lower rates of neurological events and mortality during the periprocedural period. Therefore, the use of P2Y(12) inhibitors should be strongly considered in carotid stenting procedures.
JOURNAL OF VASCULAR SURGERY
(2023)
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)
Review
Health Care Sciences & Services
Michael T. Bounajem, Ramesh Grandhi, Craig J. Kilburg, Philipp Taussky
Summary: Carotid artery stenosis is a leading cause of acute ischemic strokes in adults. Detecting and treating the condition before symptoms occur is crucial for stroke prevention. Carotid endarterectomy and carotid stenting have similar outcomes for asymptomatic carotid stenosis, but certain factors can help guide treatment decisions.
JOURNAL OF PERSONALIZED MEDICINE
(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 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
Francesco Squizzato, Michele Piazza, Edoardo Forcella, Elda Chiara Colacchio, Marny Fedrigo, Annalisa Angelini, Franco Grego, Michele Antonello
Summary: This study compared the quantity of embolized material captured by filters during carotid artery stenting using different stent designs. The use of micromesh stents was associated with a lower embolization rate and embolic filter debris load, especially in patients with hypoechogenic and long plaques and preoperative evidence of asymptomatic ischemic cerebral lesion.
Article
Clinical Neurology
Alhamza R. Al-Bayati, Raul G. Nogueira, Diogo C. Haussen
Summary: Ischemic stroke is a leading cause of mortality and long-term disability worldwide. The increasing availability of advanced cerebrovascular imaging modalities continues to unravel atherosclerotic and nonatherosclerotic carotid steno-occlusive disease as a common culprit of cerebral ischemia. Individualized treatment strategies targeting each etiologic subset would optimize preventive measures and minimize recurrence of cerebral ischemia.
Review
Clinical Neurology
Xiaomin Yang, Zhuyun Liu, Caixia Hu, Yuefeng Li, Xiaopei Zhang, Lin Wei
Summary: This systematic review and meta-analysis investigated risk factors for hypotension after carotid artery stenting. The results showed that age, stenosis site, severe stenosis, stenosis proximity to bifurcation, calcified plaques, post-balloon dilation, bilateral carotid stenting, and intravenous fluid intake were identified as risk factors for hypotension after surgery.
INTERNATIONAL JOURNAL OF STROKE
(2023)
