Non-protected carotid artery stenting for symptomatic carotid stenosis in low resource settings

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

Ayman H. El-Sudany¹  Amr S. Zaki¹  Rady Y. Bedros¹  Ahmed El-Bassiouny¹  Shady S. Georgy¹ 

[1] Interventional Neurology Unit, Neurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt;

关键词: Carotid artery stenting;    Cerebral protection device;   

DOI  :  10.1186/s41983-021-00330-3

来源: Springer

【 摘 要 】

BackgroundThe use of a distal cerebral protection device during extracranial carotid artery stenting is still a matter of debate. The aim of this work was to evaluate the safety of performing carotid artery stenting procedure without the use of cerebral protection device in patients with symptomatic carotid stenosis. A retrospective study was performed during the period from September 2015 till March 2020 including 91 patients with symptomatic carotid artery stenosis. All patients were treated with a single stent type (Wall stent® - Boston scientific) without the use of cerebral protection device. Pre- and post-procedural clinical assessment with the national institute of health stroke scale (NIHSS). Post procedure brain diffusion-weighted magnetic resonance imaging (DW-MRI) if clinically indicated within 24 h was used to determine periprocedural cerebral embolization.ResultsA low complication rate was found as only one case (1%) showed mild deterioration in NIHSS and new acute cerebral emboli were detected with brain DW-MRI.ConclusionCarotid artery stenting can be performed safely without the use of cerebral protection device.

【 授权许可】

CC BY