Endovascular Management for Carotid Artery Stenosis with or without using of Distal Protection Device | ||
| Al-Azhar International Medical Journal | ||
| Volume 2023, Issue 1, January 2023 | ||
| DOI: 10.58675/2682-339X.2015 | ||
| Authors | ||
| Mostafa Y. Ali1; Mohammed Abdulaziz Albialy2; Magdy A. El Hawary2 | ||
| 1Department of Neurosurgery, Nasr City Health Insurance Hospital, Cairo, Egypt (M.B.B.ch) | ||
| 2Department of Neurosurgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt (MD) | ||
| Abstract | ||
| Background: Transient ischemic episodes and ischemic strokes are frequently brought on by internal carotid artery atherosclerotic stenosis. Carotid artery stenosis can be treated with medicine, surgery, endovascular therapy, stenting, or a combination of these methods. Aim of the work: Analyzing the various endovascular treatment options for carotid artery stenosis with and without filters. Patients and Methods: This is a prospective and retrospective study, was conducted on 30 patients with carotid artery stenosis; 13 with filter and 17 without filter undergoing different endovascular techniques. Results: In this study we found that in group A, mean age of patients 65.85 (±7.29) while in group B, mean age of patients 64.29 (±9.68). Eleven patients in group A were males and two were females. 15 patients in group B were males and 2 were female in which there is significant difference between both studied groups as regards age. There was no statistically significant association between characteristics of the stenosis and post-procedural clinical ischemic insults in group A and B. Conclusion: The frequent use of distal filter devices during carotid artery stenting cannot be justified by any discernible advantage. It is still important to conduct prospective, randomised, and controlled studies including sizable patient cohorts to compare the utilisation of protected carotid artery stenting with non-protected carotid artery stenting. To accurately determine the various modalities of endovascular approach for management of carotid artery stenosis, more patients, longer follow-up, and multicenter experience are all required. Undoubtedly need are larger studies and additional research into CP alternatives. | ||
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