Skip to main content

Patient Selection: Anatomical

  • Chapter
Practical Carotid Artery Stenting

Abstract

Careful case selection is an absolute prerequisite for safe carotid artery stenting (CAS) practice. All patients being considered for CAS require “overview” anatomic imaging, i.e., from the arch origins of the great vessels to the circle of Willis. This may be achieved by arch aortography, or if there is local enthusiasm and expertise (and bearing in mind that noninvasive imaging modalities have not been validated for assessment of the arch origins), by contrast-enhanced magnetic resonance angiography (CEMRA) or computed tomographic angiography (CTA) (see Chap. 5)

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wholey, MH. Commentary. Best suited for stent-ing versus endarterectomy. The controversial issue. J Endovasc Ther 2007;14:687–688.

    Article  PubMed  Google Scholar 

  2. Wholey, MH. Improving trial design. Endovasc Today February;2007;29–35.

    Google Scholar 

  3. Vitek, JJ, Roubin, GS, Al-Mubarek, N, et al. Carotid artery stenting: Technical considerations. Am J Neuroradiol 2000;21:1736–1743.

    PubMed  CAS  Google Scholar 

  4. Endovascular versus surgical treatment in patients with carotid stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): A randomised trial. Lancet 2001;357(9270):1729–1737.

    Article  Google Scholar 

  5. Roubin, G, Iyer, S, Halkin, A, et al. Realizing the potential of carotid artery stenting. Proposed paradigms for patient selection and procedural technique. Circulation 2006;113:2021–2030.

    Article  PubMed  Google Scholar 

  6. Faggioloi, GL, Ferri, M, Freyrie, A, Gargiulo, M, Fratesi, F, Rossi, C, et al. Aortic arch anomalies are associated with increased risk of neurological events in carotid stent procedures. Eur J Vasc Endovasc Surg 2007;33:436–441.

    Article  Google Scholar 

  7. Hobson, RW, II, Howard, VJ, Roubin, GS, Brott, TG, Ferguson, RD, Popma, JJ, et al. Carotid artery stenting is associated with increased complications in octogenarians: 30-day stroke and death rates in the CREST lead-in phase. J Vasc Surg 2004;40:1106–1111.

    Article  PubMed  Google Scholar 

  8. Lam, RC, Lin, SC, DeRubertsi, B, et al. The impact of increasing age on anatomic factors affecting carotid angioplasty and stenting. J Vasc Surg 2007;45:875–880.

    Article  PubMed  Google Scholar 

  9. Mas, JL, Chatellier, G, Beyssen, B, et al. Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. N Engl J Med 2006;355:1660–1671.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag London Limited

About this chapter

Cite this chapter

Williams, R., Macdonald, S. (2009). Patient Selection: Anatomical. In: Macdonald, S., Stansby, G. (eds) Practical Carotid Artery Stenting. Springer, London. https://doi.org/10.1007/978-1-84800-299-9_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-84800-299-9_7

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84800-298-2

  • Online ISBN: 978-1-84800-299-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics