{"id":10210,"date":"2024-06-18T19:31:58","date_gmt":"2024-06-18T16:31:58","guid":{"rendered":"https:\/\/ozgurkilickesmez.com\/?p=10210"},"modified":"2026-10-13T22:31:56","modified_gmt":"2026-10-13T19:31:56","slug":"treatment-of-carotid-carotid-artery-stenosis-with-stents","status":"publish","type":"post","link":"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/","title":{"rendered":"Carotid Artery Stenting: Procedure, Benefits, Risks and Recovery"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">\u00a0Treatment of carotid artery stenosis with stents is a minimally invasive alternative to surgery. It involves placing a stent inside the narrowed artery to restore blood flow to the brain, reducing the risk of stroke and related complications.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Carotid artery stenting is particularly beneficial for patients at high surgical risk. The procedure is performed under local anesthesia with catheters guided through arteries, ensuring precise placement and minimizing complications such as cranial nerve injury.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Stents provide long-term support by keeping the artery open and preventing restenosis. Combined with medical therapy such as antiplatelet treatment, the procedure significantly lowers the recurrence of ischemic events and improves overall outcomes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Modern carotid stenting techniques utilize protection devices to capture emboli during the procedure. This further enhances safety, lowers stroke risk during intervention, and has established carotid stenting as a reliable alternative to surgical endarterectomy.<\/span><\/p>\n<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\" data-sheets-root=\"1\">\n<colgroup>\n<col width=\"179\" \/>\n<col width=\"337\" \/> <\/colgroup>\n<tbody>\n<tr>\n<td colspan=\"2\">What You Need to Know About Treating Carotid (Neck Artery) Stenosis with Stents<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>Placement of a stent to widen narrowings in the carotid arteries and improve blood flow.<\/td>\n<\/tr>\n<tr>\n<td>Indications<\/td>\n<td>Symptomatic carotid stenosis; severe (70\u201399%) asymptomatic stenosis; patients at high surgical risk.<\/td>\n<\/tr>\n<tr>\n<td>Contraindications<\/td>\n<td>Complete arterial occlusion; severe bleeding disorders; allergy risk to contrast agents; active infection.<\/td>\n<\/tr>\n<tr>\n<td>Pre\u2011procedure Preparation<\/td>\n<td>Blood tests; imaging studies (Doppler ultrasound, MR, CT angiography); initiation of aspirin or anticoagulant; fasting requirement.<\/td>\n<\/tr>\n<tr>\n<td>Procedure Duration<\/td>\n<td>Approximately 30 minutes.<\/td>\n<\/tr>\n<tr>\n<td>Anesthesia Type<\/td>\n<td>Local anesthesia with sedation.<\/td>\n<\/tr>\n<tr>\n<td>Procedure Steps<\/td>\n<td>1. Advance catheter from groin or arm to carotid artery<br \/>\n2. Dilate narrowing with balloon (balloon angioplasty)<br \/>\n3. Deploy and expand stent<br \/>\n4. Verify blood flow and remove catheter<\/td>\n<\/tr>\n<tr>\n<td>Complications<\/td>\n<td>Stroke; bleeding; stent migration; vessel injury; infection; allergic reaction to contrast agent.<\/td>\n<\/tr>\n<tr>\n<td>Recovery Time<\/td>\n<td>Usually one day; hospital stay may be one day.<\/td>\n<\/tr>\n<tr>\n<td>Success Rate<\/td>\n<td>High; symptom relief in symptomatic patients and reduced stroke risk.<\/td>\n<\/tr>\n<tr>\n<td>Alternative Treatments<\/td>\n<td>Carotid endarterectomy; medical therapy (statins, anticoagulants); lifestyle modifications.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\t<section class=\"section\" id=\"section_2047543423\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-797630753\">\n\n\n\t<div id=\"col-2117502837\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:#1c58ef;\" >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-1696190954\">\n\n\n\t<div id=\"col-1833483648\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_580961077\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"1020\" height=\"1020\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Interventional-Radiology-and-Neuroradiology-Doctor-Specialist-1024x1024.webp\" class=\"attachment-large size-large\" alt=\"Interventional Radiology and Neuroradiology Doctor Specialist\" srcset=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Interventional-Radiology-and-Neuroradiology-Doctor-Specialist-1024x1024.webp 1024w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Interventional-Radiology-and-Neuroradiology-Doctor-Specialist-300x300.webp 300w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Interventional-Radiology-and-Neuroradiology-Doctor-Specialist-150x150.webp 150w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Interventional-Radiology-and-Neuroradiology-Doctor-Specialist.webp 1080w\" sizes=\"(max-width: 1020px) 100vw, 1020px\" title=\"\">\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_580961077 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1833483648 > .col-inner {\n  border-radius: 20px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1697104625\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-1639997978\" class=\"text\">\n\t\t\n\n<p><strong>Prof. Dr. \u00d6zg\u00fcr KILI\u00c7KESMEZ<br \/><\/strong><span style=\"font-size: 65%;\"><em>Interventional Radiology \/ Interventional Neuroradiology<\/em><\/span><\/p>\n\n\t\t\n<style>\n#text-1639997978 {\n  font-size: 1.5rem;\n}\n@media (min-width:550px) {\n  #text-1639997978 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n<p>Prof. Dr. K\u0131l\u0131\u00e7kesmez holds the Turkish Radiology Competency Certificate, the Turkish Interventional Radiology Competency Certificate, Stroke Treatment Certification, and the European Board of Interventional Radiology (EBIR). 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ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#What_Is_Carotid_Endarterectomy\" >What Is Carotid Endarterectomy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#Anatomy_and_Clinical_Importance_of_the_Carotid_Arteries\" >Anatomy and Clinical Importance of the Carotid Arteries<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#When_Is_Carotid_Stenting_Appropriate\" >When Is Carotid Stenting Appropriate?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#Contraindications_to_Carotid_Stenting\" >Contraindications to Carotid Stenting<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#Required_Equipment_and_Uses\" >Required Equipment and Uses<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#Preparation_for_Carotid_Stenting\" >Preparation for Carotid Stenting<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#Techniques_for_Treating_Carotid_Stenosis_with_Stents\" >Techniques for Treating Carotid Stenosis with Stents<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#Potential_Risks_of_Carotid_Stenting\" >Potential Risks of Carotid Stenting<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#Clinical_Comparisons\" >Clinical Comparisons<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#Multidisciplinary_Team_Enhances_Outcomes\" >Multidisciplinary Team Enhances Outcomes<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#What_are_the_risks_of_carotid_artery_stenting\" >What are the risks of carotid artery stenting?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#What_should_I_watch_for_after_carotid_stenting\" >What should I watch for after carotid stenting?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#How_long_does_carotid_stenting_take\" >How long does carotid stenting take?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/ozgurkilickesmez.com\/en\/treatment-of-carotid-carotid-artery-stenosis-with-stents\/#Additional_Resources_and_Documents\" >Additional Resources and Documents<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Carotid_Endarterectomy\"><\/span>What Is Carotid Endarterectomy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Carotid endarterectomy is the surgical removal of plaque from the carotid arteries, also known as the neck arteries. Through an incision in the neck, the artery is exposed and plaque is removed. This procedure is vital for patients with severe stenosis. It is typically performed under local anesthesia. Advantages include:<\/p>\n<ul>\n<li>Effective removal of high\u2011risk plaque,<\/li>\n<li>Reduction of stroke risk,<\/li>\n<li>Long\u2011term preservation of vessel health.<\/li>\n<\/ul>\n<p>Despite advances in vascular surgery, carotid endarterectomy remains widely used. However, with the rise of minimally invasive techniques like carotid stenting, alternatives are gaining prominence. These methods shorten hospital stays and speed recovery. 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class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2074298066 > .col-inner {\n  margin: 0px 0px -60px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-1415109920\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-3036095733\" class=\"text\">\n\t\t\n\n<p>*We recommend filling out all fields so we can respond in the best possible way.<\/p>\n\t\t\n<style>\n#text-3036095733 {\n  font-size: 0.85rem;\n  line-height: 1.5;\n}\n@media (min-width:550px) {\n  #text-3036095733 {\n    line-height: 0.75;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1415109920 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-309686580 > .col-inner {\n  padding: 0px 0px 0px 0px;\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-309686580 > .col-inner {\n    padding: 20px 0px 0px 0px;\n    margin: 0px 0px -66px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1230564001 > .col-inner {\n  padding: 30px 10px 0px 10px;\n  border-radius: 30px;\n}\n@media (min-width:550px) {\n  #col-1230564001 > .col-inner {\n    padding: 0px 20px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1196599289 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n<h2><span class=\"ez-toc-section\" id=\"Anatomy_and_Clinical_Importance_of_the_Carotid_Arteries\"><\/span>Anatomy and Clinical Importance of the Carotid Arteries<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The carotid arteries are major vessels supplying critical blood flow. The left common carotid artery arises directly from the aortic arch, while the right arises from the brachiocephalic trunk. Each divides into internal and external carotid arteries. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470541\/\" target=\"_blank\" rel=\"noopener\">The internal carotid arteries supply the brain,<\/a> and the external supply the face, scalp, and neck. This division underscores their vital functions.<\/p>\n<ul>\n<li>Internal Carotid Arteries: Carry oxygenated blood to the brain.<\/li>\n<li>External Carotid Arteries: Supply blood to the face, scalp, and neck.<\/li>\n<\/ul>\n<p>Collateral vessels at several points provide alternative pathways if one artery is blocked. The aortic arch has three anatomical types, classified by the origin of its major branches:<\/p>\n<ul>\n<li>Type\u00a01: Branches originate at the highest point of the arch.<\/li>\n<li>Type\u00a02: Branches align with the second parallel line.<\/li>\n<li>Type\u00a03: Branches lie within the third parallel line.<\/li>\n<\/ul>\n<p>These anatomical variations affect procedures like carotid stenting, making detailed pre\u2011procedure imaging essential for each patient.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_Is_Carotid_Stenting_Appropriate\"><\/span>When Is Carotid Stenting Appropriate?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ideal candidates are patients at high surgical risk, including those with:<\/p>\n<ul>\n<li>Severe pulmonary disease,<\/li>\n<li>Recent myocardial infarction,<\/li>\n<li>Unstable angina,<\/li>\n<li>Advanced heart failure.<\/li>\n<\/ul>\n<p>Previous interventions and anatomical challenges also favor stenting:<\/p>\n<ul>\n<li>Prior neck radiation therapy,<\/li>\n<li>Contralateral vocal cord injury,<\/li>\n<li>Existing tracheostomy,<\/li>\n<li>Contralateral carotid occlusion,<\/li>\n<li>Recurrent stenosis after endarterectomy.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Contraindications_to_Carotid_Stenting\"><\/span>Contraindications to Carotid Stenting<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Contraindications include:<\/p>\n<ul>\n<li>Transfemoral approach hindered by severe aortic arch calcification or Type\u00a03 arch,<\/li>\n<li>Severe contrast allergy (may pre\u2011treat to reduce risk),<\/li>\n<li>Transcarotid approach not feasible if common carotid length &lt;\u00a05\u00a0cm below clavicle.<\/li>\n<\/ul>\n\n\t<section class=\"section dark\" id=\"section_817595135\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n\t<div id=\"gap-775433216\" class=\"gap-element clearfix hide-for-medium\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-775433216 {\n  padding-top: 10px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-247729485\">\r\n\r\n\n\t<div id=\"col-1481711971\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-3761215290\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact Prof. Dr. \u00d6zg\u00fcr K\u0131l\u0131\u00e7kesmez now for detailed information and to schedule an appointment!<\/strong><\/div>\r\n\t\t\n<style>\n#text-3761215290 {\n  font-size: 1.25rem;\n  text-align: center;\n}\n@media (min-width:550px) {\n  #text-3761215290 {\n    font-size: 1.15rem;\n  }\n}\n@media (min-width:850px) {\n  #text-3761215290 {\n    font-size: 1.5rem;\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1481711971 > .col-inner {\n  padding: 20px 0px 0px 0px;\n  margin: 0px 0px -10px 0px;\n}\n@media (min-width:550px) {\n  #col-1481711971 > .col-inner {\n    padding: 0px 0px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1097107943\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-center\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905405032303&#038;text=Hello%2C+I+am+reaching+out+to+you+from+https%3A%2F%2Fozgurkilickesmez.com%2F&#038;type=phone_number&#038;app_absent=0\" target=\"_blank\" class=\"button alert is-small box-shadow-5\" rel=\"noopener\" style=\"border-radius:10px;padding:5px 20px 5px 20px;\">\n\t\t<span>Contact via Whatsapp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1097107943 > .col-inner {\n  padding: 20px 0px 0px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_817595135 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #396cf0;\n}\n<\/style>\n\t<\/section>\n\t\r\n\t<div id=\"gap-1255630752\" class=\"gap-element clearfix\" style=\"display:block; height:auto;\">\n\t\t\n<style>\n#gap-1255630752 {\n  padding-top: 20px;\n}\n<\/style>\n\t<\/div>\n\t\r\n\n<h2><span class=\"ez-toc-section\" id=\"Required_Equipment_and_Uses\"><\/span>Required Equipment and Uses<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Essential equipment includes an ultrasound unit and fluoroscopic imaging system for real\u2011time guidance, plus lead protection and sterile drapes for safety.<\/p>\n<p>For transfemoral approach:<\/p>\n<ul>\n<li>Micropuncture kit for femoral artery access,<\/li>\n<li>0.035\u2033 and 0.014\u2033 guidewires for stent delivery,<\/li>\n<li>6\u202fFr short and long sheaths for access,<\/li>\n<li>Angled catheters for lesion access,<\/li>\n<li>Angioplasty balloons for vessel dilation,<\/li>\n<li>Embolic protection device or flow reversal system to prevent emboli.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Preparation_for_Carotid_Stenting\"><\/span>Preparation for Carotid Stenting<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Proper preparation is critical. For transfemoral access, position the patient supine with head turned contralaterally. Sterilize and drape the groin. Continuous hemodynamic monitoring and vasoactive drugs should be ready. Sedation with local anesthesia or general anesthesia may be used, particularly if neurological monitoring (EEG or cerebral mapping) is required. Continue pre\u2011 and post\u2011procedure medications, and involve anesthesia team for monitoring.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Techniques_for_Treating_Carotid_Stenosis_with_Stents\"><\/span>Techniques for Treating Carotid Stenosis with Stents<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<div>\n<dl id=\"attachment_6265\">\n<dt><img decoding=\"async\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/06\/karotis-stentleme-islemi-goruntusu.jpg\" alt=\"Image of carotid artery stenting\" width=\"973\" height=\"572\" title=\"\"><\/dt>\n<dd>Image of carotid artery stenting<\/dd>\n<\/dl>\n<\/div>\n<p>Treatment options have diversified, with stenting playing a key role.<\/p>\n<p><strong>Transfemoral approach:<\/strong><\/p>\n<ul>\n<li>Access via femoral artery,<\/li>\n<li>Advance guidewire and catheter to aortic arch and carotid,<\/li>\n<li>Perform angiographic imaging to locate and cross lesion,<\/li>\n<li>Deploy embolic protection device,<\/li>\n<li>Place stent and, if needed, perform balloon angioplasty.<\/li>\n<\/ul>\n<p>Post\u2011procedure care is vital for rapid recovery. Continuous hemodynamic monitoring and prompt management of complications are essential. Treatment choice depends on patient anatomy, lesion characteristics, and overall health, guided by advanced imaging.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Potential_Risks_of_Carotid_Stenting\"><\/span>Potential Risks of Carotid Stenting<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Risks include:<\/p>\n<ul>\n<li>Bleeding at femoral access site,<\/li>\n<li>Vessel perforation or dissection,<\/li>\n<li>Thrombosis,<\/li>\n<li>Distal embolization,<\/li>\n<li>Stent fracture or malposition.<\/li>\n<\/ul>\n<p>These complications can impact both procedural success and patient recovery. Patients should be informed of these risks during planning.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Clinical_Comparisons\"><\/span>Clinical Comparisons<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Comparative studies between carotid artery stenting (CAS) and surgical endarterectomy (CEA) show similar restenosis rates. However, myocardial ischemia risk is higher with CEA, while stroke risk is higher with CAS. CAS may be more challenging in:<\/p>\n<ul>\n<li>Patients over 70 years old,<\/li>\n<li>Those with extensive white matter lesions.<\/li>\n<\/ul>\n<p>The transcarotid approach can reduce embolization risk. Ongoing trials continue to clarify the benefits. Hospital stays and long\u2011term costs are comparable for both methods.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Multidisciplinary_Team_Enhances_Outcomes\"><\/span>Multidisciplinary Team Enhances Outcomes<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Carotid disease is a serious condition often identified in primary care. Pulmonologists and internists refer cases to specialists. Vascular surgeons and interventional radiologists perform stenting, speeding recovery and reducing stroke risk. Post\u2011procedure, lifestyle changes are crucial:<\/p>\n<ul>\n<li>Weight management,<\/li>\n<li>Lipid control,<\/li>\n<li>Regular exercise.<\/li>\n<\/ul>\n<p>These measures help prevent atherosclerosis and improve overall cardiovascular health.<\/p>\n<h3 class=\"accordion_title\"><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h3><div class=\"accordion\">\n\t<div id=\"accordion-2649375571\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2649375571-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-are-the-risks-of-carotid-artery-stenting?\" aria-expanded=\"false\" aria-controls=\"accordion-2649375571-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"What_are_the_risks_of_carotid_artery_stenting\"><\/span>What are the risks of carotid artery stenting?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-2649375571-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2649375571-label\">\n\t\t\t\n<p>The most serious complication is embolic debris reaching cerebral vessels, causing transient or permanent stroke. Use of embolic protection filters reduces this risk significantly. With careful technique by neurointerventionalists, stroke risk can be lowered below 1%. Thus, stenting is considered very safe, though all interventions carry inherent risks.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-101274999\" class=\"accordion-item\">\n\t\t<a id=\"accordion-101274999-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-should-i-watch-for-after-carotid-stenting?\" aria-expanded=\"false\" aria-controls=\"accordion-101274999-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"What_should_I_watch_for_after_carotid_stenting\"><\/span>What should I watch for after carotid stenting?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-101274999-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-101274999-label\">\n\t\t\t\n<p>Patients typically resume daily activities within days. Lifelong antiplatelet therapy is prescribed and must be adhered to. Smoking cessation, lipid and glucose control through diet and exercise, and regular follow\u2011up to monitor stent patency and cardiovascular health are essential.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3820598994\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3820598994-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-carotid-stenting-take?\" aria-expanded=\"false\" aria-controls=\"accordion-3820598994-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<h3 class=\"accordion-heading\" role=\"heading\" aria-level=\"3\"><span class=\"ez-toc-section\" id=\"How_long_does_carotid_stenting_take\"><\/span>How long does carotid stenting take?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t<\/a>\n\t\t<div id=\"accordion-3820598994-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3820598994-label\">\n\t\t\t\n<p>The procedure generally takes about 30 minutes. Duration may vary with lesion complexity and location, sometimes extending slightly. Most cases are completed within this timeframe.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n<h2><span class=\"ez-toc-section\" id=\"Additional_Resources_and_Documents\"><\/span>Additional Resources and Documents<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><a href=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/CIRSE-Standards-of-Practice-on-Carotid-Artery-Stenting.pdf\">https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/CIRSE-Standards-of-Practice-on-Carotid-Artery-Stenting.pdf<\/a><\/p>\n<p><a href=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/white-et-al-2022-carotid-artery-stenting.pdf\">https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/07\/white-et-al-2022-carotid-artery-stenting.pdf<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Treatment of carotid artery stenosis with stents is a minimally invasive alternative to surgery. It involves placing a stent inside the narrowed artery to restore blood flow to the brain, reducing the risk of stroke and related complications. Carotid artery stenting is particularly beneficial for patients at high surgical risk. The procedure is performed under [&#8230;]\n","protected":false},"author":2,"featured_media":10233,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[320],"tags":[],"class_list":["post-10210","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-treatments"],"_links":{"self":[{"href":"https:\/\/ozgurkilickesmez.com\/en\/wp-json\/wp\/v2\/posts\/10210","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ozgurkilickesmez.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ozgurkilickesmez.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/en\/wp-json\/wp\/v2\/comments?post=10210"}],"version-history":[{"count":3,"href":"https:\/\/ozgurkilickesmez.com\/en\/wp-json\/wp\/v2\/posts\/10210\/revisions"}],"predecessor-version":[{"id":16755,"href":"https:\/\/ozgurkilickesmez.com\/en\/wp-json\/wp\/v2\/posts\/10210\/revisions\/16755"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/en\/wp-json\/wp\/v2\/media\/10233"}],"wp:attachment":[{"href":"https:\/\/ozgurkilickesmez.com\/en\/wp-json\/wp\/v2\/media?parent=10210"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/en\/wp-json\/wp\/v2\/categories?post=10210"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/en\/wp-json\/wp\/v2\/tags?post=10210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}