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Lookup NU author(s): Dr Sumaira MacDonald
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The minimal invasive nature of carotid artery stenting (CAS) remains appealing to both interventionalists and patients. Despite numerous landmark randomized controlled trials comparing CAS to carotid endarterectomy, controversy with regards to the precise indications for CAS still exist. What has become clear is that outcome is strongly influenced by patient and operator specific characteristics. Complication rates (i.e. stroke) rise if the procedure is performed by inexperienced interventionalists without sufficient institutional experience or in patients with severe co-morbidities and/or adverse anatomy. This article outlines the different variables associated with inferior CAS outcome and provides strategies to improve CAS results by adopting a patient and physician tailored approach to this complex procedure.
Author(s): MacDonald S; Willaert WIM; Vermassen F; Desender L; Jacobs B; Van Herzeele I
Publication type: Article
Publication status: Published
Journal: Italian Journal of Vascular and Endovascular Surgery
Print publication date: 01/12/2013
ISSN (print): 1824-4777
ISSN (electronic): 1827-1847
Publisher: Edizioni Minerva Medica