Carotid Artery Stenting. the Basics

About this book

Over the past three decades, carotid artery stenting has evolved to become a promising and viable alternative to carotid endarterectomy, especially for patients deemed to have high surgical risks. In Carotid Artery Stenting: The Basics, Jacqueline Saw and a panel of international experts on carotid artery stenting discuss in depth the details of all contemporary aspects of carotid stenting, while reviewing supporting studies, guidelines, technical perspectives, and peri-procedural management. This textbook serves as a learning resource on the multifaceted management of patients with carotid artery stenosis, with the key focus on extracranial carotid artery stenting. Additional sections detail the specifics of setting up and maintaining a laboratory and discuss the preparation of the carotid artery stenting procedure from both the patient and operator’s perspective. Authoritative and highly practical, Carotid Artery Stenting: The Basics is an accessible guide and valuable resource for today’s cardiologists, radiologists, and vascular surgeons.

Written for: Cardiologists, radiologists, vascular surgeons, neurologists and neurosurgeons.

Keywords:

• Carotid Artery
• Endarterectomy
• Extracranial
• Stenosis
• Stenting

Table of contents

Section One: Carotid Artery Stenosis and Management

1. Carotid artery stenosis prevalence and medical therapy
Dr Rohit Khurana & Dr Philip Teal

2. Carotid revascularization: Carotid Endarterectomy
Dr Marlene Grenon & Dr Ravi Sidhu

3. Carotid Stenting Registries and Randomized Trials
Dr Percy Jokhi & Dr Jacqueline Saw

Section Two: Laboratory Set-up and Background Noninvasive Imaging

4. Catheterization Laboratory: X-ray Equipment, Radiation Safety, Imaging Modalities and Programs
Dr David Wood & Dr Anthony Fung

5. Non-invasive Imaging Modality: Carotid Ultrasound, CT and MR Angiography
Dr Jonathon Leipsic

Section Three: Patient & Operator Preparation for Carotid Stenting

6. Pre-procedural Patient Preparation: baseline neurologic examination, medications, antiplatelet therapy, and anticoagulation
Dr Adil Al Riyami & Dr Jacqueline Saw

7. Patient Selection: Current indications for carotid stenting
Dr Juhana Karha & Dr Deepak Bhatt

8. Operator Training and Accreditation
Dr Faisal Alquoofi & Dr Ronak Kanani

Section Four: Technical Approach of Carotid Artery Stenting

9. Vascular access: Femoral, radial, brachial, and direct carotid approach
Dr Robert Boone & Dr Ravish Sachar

10. Aortic arch angiography & Four-vessel cerebrovascular angiography
Dr Simon Walsh & Dr Jacqueline Saw

11. Extracranial Carotid Stent Interventional Approach
Dr Jacqueline Saw

12. Carotid Stenting Equipment Review
Dr Peter Ruchin & Dr Jacqueline Saw

13. Acute Stroke Neurorescue
Dr Abou-Chebl & Dr Usman Khan

Section Five: Complications and Post-procedural Monitoring

14. Complications related to carotid stenting
Dr Peter Ruchin & Dr Jacqueline Saw

15. Post-procedural Monitoring and Follow-up
Dr Simon Walsh & Dr Jacqueline Saw