CAROTID ARTERY STENTING WITHOUT ANTI-EMBOLIC DEVICE: A SINGLE CENTER EXPERIENCE

Abstract

Background Carotid artery stenting (CAS) is a frequently used method in carotid artery stenosis. There are many publications in the literature regarding whether or not anti-embolic devices should be used during carotid stenting. In this study, we reported the short-term results of our patients in whom we did not use anti-embolic devices during carotid stenting procedure. Methods We retrospectively analyzed patients who underwent carotid artery stenting between June 2022 and June 2025 in our clinic. The patient's clinical characteristics and procedural datas were obtained by scanning patient files. Results Sixty patients were included in the study. The average age of the patients was 70±9. Fifty five patients underwent stenting under local anesthesia and 5 under general anesthesia. Right carotid artery in 12 patients, left carotid artery in 40 patients, and bilateral carotid artery stenting was performed in 8 patients. Self-expandable stents were used in all patients. But, no anti-embolic devices were used in any of the procedures. Patients were followed up for 11± 5 (minimum 1-maximum 24) months for recurrent stroke and death. No recurrent stroke or transient ischemic attack (TIA) was detected in any patient during the follow-up period. Conclusion In experienced centers, CAS is successfully performed without the use of anti-embolic devices and the risk of complications is quite low.

Keywords

• Carotid artery stenosis
• Carotid artery stenting
• Anti-embolic device

Supporting Institution

Authors have any direct or indirect funding relating to the subject of our report. This work did not receive any grant from funding agencies in the public, commercial, or not for profit sectors.

Ethical Statement

The authors declare that they have no known competing financial or personal relationships that could be viewed as influencing the work reported in this paper.

ANTİ-EMBOLİK CİHAZ KULLANMADAN KAROTİD ARTER STENTLEME: TEK MERKEZ DENEYİMİ

Abstract

Amaç Karotis arter stentleme (KAS), karotis arter stenozunda sık kullanılan bir yöntemdir. Literatürde karotis stentleme sırasında anti-embolik cihazların kullanılıp kullanılmayacağı konusunda birçok yayın vardır. Bu çalışmada, karotis stent işlemi sırasında anti-embolik cihaz kullanmadığımız hastalarımızın kısa süreli sonuçlarını bildirdik. Gereç ve Yöntem Kliniğimizde Haziran 2022 ile Haziran 2025 arasında karotis arter stenti uygulanan hastaları retrospektif olarak analiz ettik. Hastaların klinik özellikleri ve prosedürel verileri, hasta dosyaları taranarak elde edildi. Bulgular Çalışmaya 60 hasta dahil edildi. Hastaların yaş ortalamsı 70 ± 9 idi olup 55 hastaya lokal anestezi ve 5 hastaya genel anestezi altında işlem yapıldı. 12 hastada sağ karotis arter, 40 hastada sol karotis arter ve 8 hastada bilateral karotis arter stentleme yapıldı. Tüm hastalarda kendi açılabilir stentler kullanıldı. Hiçbir prosedürde anti-embolik cihaz kullanılmadı. Hastalar tekrarlayan inme ve ölüm açısından 11 ± 5 (minimum 1-maksimum 24) ay takip edildi. Takip süresi boyunca herhangi bir hastada tekrarlayan inme veya geçici iskemik atak (GİA) tespit edilmedi. Sonuç Deneyimli merkezlerde KAS, anti-embolik cihaz kullanılmadan başarıyla gerçekleştirilebilir ve komplikasyon riski oldukça düşüktür.

Keywords

• Karotis arter stenozu
• Karotis arter stentleme
• anti-embolik cihaz

Supporting Institution

Bu çalışma, kamu, ticari veya kâr amacı gütmeyen sektörlerdeki fon kuruluşlarından herhangi bir hibe almamıştır.

Ethical Statement

Yazarlar, bu makalede bildirilen çalışmayı etkileyebilecek bilinen herhangi bir finansal veya kişisel ilişkilerinin olmadığını beyan etmektedirler.

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