Carotid stents: which is the best option?

J Cardiovasc Surg (Torino). 2011 Dec;52(6):779-93.

Abstract

Nowadays, carotid artery stenting (CAS) offers a potential alternative to carotid endarterectomy (CEA). CAS main advantages over CEA are the less invasive approach and the almost equal performance to CEA in terms of stroke prevention and complications. One of the most important factors which played significant role to CAS evolution is the progress in design of modern materials, especially stents. Today, several types of dedicated carotid stents have specific mechanical properties, which provide stents with individual characteristics making each of them suitable for specific carotid lesions and anatomies. The present review analyses the specific design and construction of modern stents, trying to point out their particular mechanical properties and characteristics. Additionally, it presents all available data published on comparison between different stent designs with the intention to identify which carotid stent is the best option for particular patient and lesion characteristics.

Publication types

  • Review

MeSH terms

  • Angioplasty / adverse effects
  • Angioplasty / instrumentation*
  • Carotid Artery Diseases / diagnostic imaging
  • Carotid Artery Diseases / therapy*
  • Humans
  • Patient Selection
  • Prosthesis Design
  • Radiography
  • Risk Assessment
  • Risk Factors
  • Stents*
  • Treatment Outcome