Carotid stenting selection

With the ongoing refinement of endovascular devices and techniques for carotid revascularization, catheter-based therapy has become technically feasible in most patients. Notwithstanding, appropriate case selection is required to ensure procedural safety, Here within we review new concepts pertaining to patient selection and technical procedural considerations that we consider crucial for enhancing clinical outcomes following carotid stenting,... 

Atherosclerotic vascular disease is more frequent in elderly patients and may be associated with more tortuous vessel anatomy. Superselective catheterizations of distal cerebral vessels might thus become technically more difficult. Atherosclerotic carotid bifurcation disease is frequently associated in patients with advanced age and might increase the risk of thromboembolic complications. In selected cases, a combined approach, first stenting of the carotid artery stenosis and subsequently coil embolization of the ruptured aneurysm might be a therapeutic option. 

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