Carotid Stenting
A minimally invasive procedure to treat carotid artery stenosis (narrowing), Uses a catheter-based approach to place a stent in the carotid artery and Alternative to traditional carotid endarterectomy surgery
Carotid artery stenting is a minimally invasive procedure used to treat narrowed carotid arteries (carotid artery stenosis) by inserting a small metal tube (stent) to keep the artery open and improve blood flow to the brain, often as an alternative to carotid endarterectomy.
Who Needs?
- Patients with symptomatic carotid artery stenosis of 50% or greater
- Asymptomatic patients with severe stenosis (70-99%)
- Those at high risk for traditional surgery
- Patients who meet specific criteria based on clinical trials and FDA approval
Procedure details:
- Local anesthesia and sedation are used
- A catheter is inserted through the groin or arm
- The catheter is guided to the carotid artery using X-ray imaging
- An embolic protection device may be used to catch debris
- The narrowed area is dilated with a balloon
- A stent is deployed to keep the artery open
- The procedure typically takes 1-2 hours
Advantages
- Less invasive than open surgery
- Shorter hospital stay (often overnight)
- Faster recovery time
- Can be performed on high-risk surgical patients
- Avoids risks associated with general anesthesia
Potential risks and complications:
- Stroke (2-10% risk)
- Bleeding or bruising at the insertion site
- Allergic reaction to contrast dye
- Kidney damage from contrast dye
- Restenosis (re-narrowing of the artery)
Post-procedure care:
- Patients are monitored in the hospital overnight
- Blood-thinning medications (e.g., aspirin, clopidogrel) are prescribed
- Follow-up imaging is typically done 3-6 months after the procedure
Effectiveness:
- Similar outcomes to carotid endarterectomy in some studies (e.g., CREST trial)
- May have higher periprocedural risk compared to surgery in some patient groups
- Ongoing research comparing long-term outcomes with medical therapy and surgery
What PATIENTS SAYS !!
Vishal Saxena
Heart Patient
I am grateful to Dr Gautam Swaroop for the medical treatment provided to me during my stay at Sahara hospital,when we lost all hopes ...We believe our prayers was answered by competent,composed and caring Dr Gautam swaroop...
Ram Dev Maurya
Heart Patient
I am really happy to quote that generally doctors after doing surgery and operations...immediately after the operation there is poor accessibility of doctors but Dr gautam swaroop is always available for his patient 24*7
Bechan prasad mishra
Heart Patient
30 minutes after my heart attack I was rushed to Sahara hospital Dr. gautam swaroop put a Life saving stent immediately....and i am alive ....whenever I go and meet Dr. Gautam Swaroop for regular checkup I always feel I am in safe hands
Ranjan Kumar singh
Heart Patient
My patient was on ventilator because of heart attack. We were refused from all hospitals in Lucknow including LARI cardiology. We had lost hope. We admitted under Dr Gautam Swaroop. He did Angioplasty on ventilator and he saved my Father’s life. He has got miraculous hand.My whole family is thankful to him. He is next to God for us.
