Carotid Stenting

Carotid Artery Stenting for Stroke Risk Reduction

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
Carotid Stenting

FAQ

Carotid stenting is a minimally invasive procedure used to open narrowed carotid arteries (the main blood vessels to the brain) and reduce the risk of stroke. A small metal mesh tube (called a stent) is placed to keep the artery open.

You may need carotid stenting if you have carotid artery disease, where plaque buildup causes narrowing in the arteries that supply blood to the brain. Stenting helps prevent strokes by restoring proper blood flow.

A thin tube (catheter) is inserted into a blood vessel in the groin or wrist and guided to the carotid artery. A balloon is used to open the narrowed area, and a stent is placed to keep the artery open.

Yes, carotid stenting is a safe and effective alternative to surgery (carotid endarterectomy), especially for patients who are at high risk for surgical procedures. It is performed by skilled specialists with imaging guidance.

Yes, the procedure is typically done under local anesthesia with sedation. You’ll be awake but relaxed, and you shouldn’t feel pain during the procedure.

Carotid stenting usually takes 1 to 2 hours. You will be monitored closely during and after the procedure to ensure everything goes smoothly.

Most patients stay in the hospital overnight for observation and return to normal activities within a few days. Your doctor will give you specific recovery instructions.

Possible risks include stroke, bleeding, or artery injury, though serious complications are rare. Your doctor will discuss these with you and explain how they are minimized during the procedure.

Yes, you will need to take blood thinners or antiplatelet medications (like aspirin or clopidogrel) for a period of time to prevent blood clots and ensure the stent remains open.

To protect your heart and brain health, follow your doctor’s advice:

  • Take your medications regularly
  • Eat a heart-healthy diet
  • Quit smoking
  • Manage cholesterol, blood pressure, and diabetes
  • Stay physically active

What PATIENTS SAYS !!

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