Preventable complications of carotid stenting.
With the development of equipment specifically designed for carotid artery stenting (CAS) and a national effort to train specialists, CAS has blossomed into a viable alternative to carotid endarterectomy (CEA) in certain circumstances. Not without risks, stroke is a well-recognized complication of CAS; yet a variety of other unique problems can complicate an expected successful outcome. This review covers some of the more common problems and provides potential solutions to preventable situations that may occur in the periprocedural period. The primary objective of this review is to provide a heightened awareness of both anticipated and unanticipated risks of the procedure, with the hope of avoiding recurring problems.
Eskandari
Mark K
MK
Division of Vascular Surgery and Department of Radiology, Northwestern Memorial Hospital, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA. meskanda@nmh.org
D000800:Angioplasty, Balloon / Q000009:adverse effects*; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000628:therapy*; D020878:Device Removal; D016894:Endarterectomy, Carotid; D005374:Filtration; D006406:Hematoma / Q000209:etiology; D006801:Humans; D020766:Intracranial Embolism / Q000517:prevention & control; D015607:Stents / Q000009:adverse effects*; D020521:Stroke / Q000517:prevention & control