Carlo Andrea Reale MD, Presenter: Nothing to Disclose

Roberto Gandini MD, Abstract Co-Author: Nothing to Disclose

Matteo Stefanini MD, Abstract Co-Author: Nothing to Disclose

Sebastiano Fabiano MD, Abstract Co-Author: Nothing to Disclose

Alessio Spinelli MD, Abstract Co-Author: Nothing to Disclose

Enrico Pampana MD, Abstract Co-Author: Nothing to Disclose

Massimiliano Di Primio MD, Abstract Co-Author: Nothing to Disclose

Giovanni Simonetti MD, Abstract Co-Author: Nothing to Disclose

et al, Abstract Co-Author: Nothing to Disclose

et al, Abstract Co-Author: Nothing to Disclose

Internal Carotid artery (ICA) stenting is emerging as a reasonable alternative to surgical endoarterectomy not only in high-risk patients. Aim of the study was evaluate long-term clinical efficacy of ICA stenting, using protection device, and incidence of restenosis.

During the last five years, we have treated, with the routine use of cerebral protection devices, 612 consecutive patients (665 lesions) with stenosis of the ICA. 319 Patients were symptomatic (52.14 %). All Patients were submitted prior the procedure to USD, Angio-MR and/or Angio-VCT, and neurological examination was performed before and after procedure.

Techincal success was achieved in 652 lesions (98%) and cerebral protection was successfully applied in 647 procedures (97.30 %). The 30-day incidence of stroke and death was 1.21 %. The follow-up, consist of clinical, neurological and USD examination. The USD control was carried out in all surviving patients showing a restenosis (›80%) in 9 cases.

In our experience carotid artery stenting seems to be safety and efficacy treatment of ICA stenosis with results that could be compared with surgical alternative.

At the 5-year follow-up carotid artery stenting appeared effective in stroke prevention and durable with very low incidence of restenosis.

Reale, C, Gandini, R, Stefanini, M, Fabiano, S, Spinelli, A, Pampana, E, Di Primio, M, Simonetti, G, et al, , et al, , Endovascular Treatment of Internal Carotid Artery Stenosis: Immediate and Five Years' Follow-up.  Radiological Society of North America 2007 Scientific Assembly and Annual Meeting, November 25 - November 30, 2007 ,Chicago IL. http://archive.rsna.org/2007/5013004.html