Pre-Procedural Evaluation and Peri-Procedural Management in Carotid Artery Stenting
Journal of the Korean Neurological Association
; : 59-71, 2014.
Article
en Ko
| WPRIM
| ID: wpr-91992
Biblioteca responsable:
WPRO
ABSTRACT
Carotid-artery stenting (CAS) is as an alternative to surgical endarterectomy for severe carotid-artery stenosis. CAS is advantageous over carotid endarterectomy in that it is less invasive and could shorten the hospital stay. A preprocedural evaluation is necessary to assess the patient's anatomic status or clinical risk factors to determine whether they are a good candidate for CAS. Proper evaluation and management can reduce CAS-associated complications such as embolism and cerebral hyperperfusion syndrome. The frequent use of statins appears to improve the outcome of CAS. Using the appropriate stent type and a protection device could also reduce the complication rate. Given the changes in cerebral hemodynamics following CAS, adequately controlling the blood pressure in individual patients can enhance the efficacy of this treatment. However, there is currently limited data regarding the preprocedural evaluation and periprocedural management for CAS. The evidence and the clinical status related to the preprocedural evaluation and periprocedural management of CAS are presented herein.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Presión Sanguínea
/
Arterias Carótidas
/
Stents
/
Factores de Riesgo
/
Endarterectomía Carotidea
/
Constricción Patológica
/
Inhibidores de Hidroximetilglutaril-CoA Reductasas
/
Accidente Cerebrovascular
/
Embolia
/
Endarterectomía
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Neurological Association
Año:
2014
Tipo del documento:
Article