The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)
The modern approach to endovascular carotid revascularisation
EuroIntervention 2016;12:e538-e540 published online e-edition August 2016. DOI: 10.4244/EIJV12I5A92
Eugenio Stabile1*, MD, PhD; Tullio Tesorio2, MD; Giovanni Esposito1, MD
1. Division of Cardiology, Department of Advanced Biomedical Sciences, University of Naples “Federico II”, Naples, Italy; 2. Division of Intensive Coronary Care and Cardiac Catheterization Laboratories, Clinica Montevergine, Mercogliano, Italy
Procedural and post-procedural cerebral ischaemic events still represent the Achilles’ heel of carotid artery stenting (CAS). While the occurrence of periprocedural events has decreased with the use of embolic protection devices (EPDs) tailored to specific anatomic and clinical characteristics1, large-scale clinical data have shown that adverse neurological events in the post-procedural period still account for a significant proportion of all CAS-related neurological events.
The average risk of post-procedural ipsilateral stroke is still quite disconcerting, (i.e., 0.4% per year)2,3. This phenomenon could be related to plaque protrusion through stent struts, which occurs in up to two thirds of cases ...