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Intermediate Technical IVT

carotid artery stenting

An endovascular procedure involving placement of a stent in the carotid artery to treat stenosis.

Full Definition

Carotid artery stenting (CAS) is a minimally invasive endovascular procedure used to treat significant carotid artery stenosis as an alternative to carotid endarterectomy. The procedure involves percutaneous placement of a self-expanding stent across the stenotic lesion, typically preceded by balloon pre-dilatation and often performed with embolic protection devices. CAS is particularly considered for patients at high surgical risk or those with anatomical factors that complicate surgical access. Post-procedural imaging surveillance is essential to monitor stent patency and detect potential complications such as in-stent restenosis.

Usage

Usage note: Commonly abbreviated as CAS; distinguish from carotid endarterectomy (CEA) which is the surgical alternative.

In Context

  • "The patient underwent successful carotid artery stenting with embolic protection." — Interventional radiology report
  • "Six-month follow-up after carotid artery stenting showed excellent stent patency." — Vascular surveillance report

Also known as

percutaneous carotid intervention carotid stenting

Contrasted with

carotid endarterectomy

Don't confuse with

carotid angioplasty carotid endarterectomy

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