Carotid artery stenting: A therapeutic alternative in subtotal internal carotid artery occlusions

Soni J. Zacharias, Thomachan Kalapura, Fatima Abrantes-Pais, Thomas A. Hennebry

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Carotid artery stenting (CAS) is emerging as a less invasive modality for treating atherosclerotic occlusive disease of the internal carotid artery (ICA). Randomized trials like the SAPPHIRE trial have demonstrated that CAS is not inferior to carotid endarterectomy (CEA) in the treatment of carotid artery stenosis, and maybe even superior in high-risk symptomatic patients. However, patients with subtotal ICA occlusions with thrombus are excluded from randomized CAS trials and CAS registries. To our knowledge, carotid angioplasty with stenting has not been attempted in these cases. We present three cases of symptomatic subtotal ICA occlusions successfully treated with CAS without any periprocedural complications. With careful patient selection and technical expertise, endovascular management could be considered as a treatment option in subtotal carotid occlusions.

Original languageEnglish (US)
Pages (from-to)214-221
Number of pages8
JournalJournal of Interventional Cardiology
Volume20
Issue number3
DOIs
StatePublished - Jun 2007

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Internal Carotid Artery
Carotid Arteries
Professional Competence
Therapeutics
Carotid Artery Diseases
Carotid Endarterectomy
Carotid Stenosis
Angioplasty
Patient Selection
Registries
Thrombosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Carotid artery stenting : A therapeutic alternative in subtotal internal carotid artery occlusions. / Zacharias, Soni J.; Kalapura, Thomachan; Abrantes-Pais, Fatima; Hennebry, Thomas A.

In: Journal of Interventional Cardiology, Vol. 20, No. 3, 06.2007, p. 214-221.

Research output: Contribution to journalArticle

Zacharias, Soni J. ; Kalapura, Thomachan ; Abrantes-Pais, Fatima ; Hennebry, Thomas A. / Carotid artery stenting : A therapeutic alternative in subtotal internal carotid artery occlusions. In: Journal of Interventional Cardiology. 2007 ; Vol. 20, No. 3. pp. 214-221.
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