Carotid Artery Stenting
A Practical Guide

As the popularity of Carotid Artery Stenting (CAS) grows, so does the demand for guidance on this technically challenging and high-risk procedure. This book aids optimal outcomes during early experiences with CAS by helping to avoid many common pitfalls.

In the management of vascular disease, there has been an inexorable drive towards less invasive endovascular treatment options. Endovascular treatment of carotid stenosis for stroke is no exception. Several sizeable multicentre trials are running concurrently, which are comparing carotid endarterectomy (CEA), the "gold standard," with the less invasive alternative, carotid stenting (CAS) for low-risk patients with symptomatic carotid stenoses who are considered to be surgical candidates. The endovascular option is in itself a newcomer but state-of-the-art CAS with regards use of all the available technical refinements, to include low-profile monorail dedicated systems with contemporary pharmacological support, is perhaps all but five years old. There is considerable interest from clinicians from a variety of clinical backgrounds and from industry in this technique and, therefore, scope for a contemporary practical guide.

Carotid Stenting - The Evidence Base (Jorg Ederle, Martin Brown).- Patient selection for Carotid Stenting (Peter Humphrey).- The value of asymptomatic carotid intervention (A Ross Naylor).- First steps: training, support and proctorship (Gerry Stansby, Sumaira Macdonald).- Pre-procedure imaging (Jos Van Den Berg).- Neuroanatomy &
anatomic variations (Ridwan Lynn, Alex Abou-chebl).- Patient selection: Anatomical (Robin Williams, Sumaira Macdonald).- Plaque stability and Carotid Stenting (Marc Bosiers, Patrick Peeters).- Pharmacological support (Doug Turner, Steve Thomas).- Equipment basic &
advanced: An Overview (Luc Stockx).- Difficult access
Tips &
Tricks (Peter A Schneider).- Procedural Tips &
Tricks (Robert Fathi).- Embolic containment: Devices &
How to Avoid Disaster (Alberto Cremonesi, Giancarlo Biamino, Armando Liso
Shane Gieowarsingh, Fausto Castriota).- Relevance of periprocedural haemodynamics (Sumaira Macdonald).- Dealing with complications: Neurorescue - Claudio Schonholz, Renan Uflacker, Juan C Parodi).- Surveillance: Diagnosis and management of in-stent Restenosis (Brajesh K Lal, Babak Abai, RW Hobson 2nd).- Optimizing outcomes (David Beckett, Peter Gaines)