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A patient and physician tailored approach to carotid artery stenting

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Abstract
The minimal invasive nature of carotid artery stenting (CAS) remains appealing to both interventionalists and patients. Despite numerous landmark randomized controlled trials comparing CAS to carotid endarterectomy, controversy with regards to the precise indications for CAS still exist. What has become clear is that outcome is strongly influenced by patient and operator specific characteristics. Complication rates (i.e. stroke) rise if the procedure is performed by inexperienced interventionalists without sufficient institutional experience or in patients with severe co-morbidities and/or adverse anatomy. This article outlines the different variables associated with inferior CAS outcome and provides strategies to improve CAS results by adopting a patient and physician tailored approach to this complex procedure.
Keywords
Stents, Carotid arteries, Carotid artery diseases, FINITE-ELEMENT-ANALYSIS, HIGH-RISK PATIENTS, FILTER PROTECTION, TRANSCRANIAL DOPPLER, CEREBRAL PROTECTION, SUBGROUP ANALYSIS, RANDOMIZED-TRIAL, SCORING SYSTEM, ENDARTERECTOMY, OUTCOMES

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Citation

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Chicago
Willaert, Willem, Frank Vermassen, Sumaira MacDonald, Liesbeth Desender, Bart Jacobs, and Isabelle Van Herzeele. 2013. “A Patient and Physician Tailored Approach to Carotid Artery Stenting.” Italian Journal of Vascular and Endovascular Surgery 20 (3): 177–187.
APA
Willaert, Willem, Vermassen, F., MacDonald, S., Desender, L., Jacobs, B., & Van Herzeele, I. (2013). A patient and physician tailored approach to carotid artery stenting. ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 20(3), 177–187.
Vancouver
1.
Willaert W, Vermassen F, MacDonald S, Desender L, Jacobs B, Van Herzeele I. A patient and physician tailored approach to carotid artery stenting. ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY. 2013;20(3):177–87.
MLA
Willaert, Willem, Frank Vermassen, Sumaira MacDonald, et al. “A Patient and Physician Tailored Approach to Carotid Artery Stenting.” ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY 20.3 (2013): 177–187. Print.
@article{4427020,
  abstract     = {The minimal invasive nature of carotid artery stenting (CAS) remains appealing to both interventionalists and patients. Despite numerous landmark randomized controlled trials comparing CAS to carotid endarterectomy, controversy with regards to the precise indications for CAS still exist. What has become clear is that outcome is strongly influenced by patient and operator specific characteristics. Complication rates (i.e. stroke) rise if the procedure is performed by inexperienced interventionalists without sufficient institutional experience or in patients with severe co-morbidities and/or adverse anatomy. This article outlines the different variables associated with inferior CAS outcome and provides strategies to improve CAS results by adopting a patient and physician tailored approach to this complex procedure.},
  author       = {Willaert, Willem and Vermassen, Frank and MacDonald, Sumaira and Desender, Liesbeth and Jacobs, Bart and Van Herzeele, Isabelle},
  issn         = {1824-4777},
  journal      = {ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY},
  language     = {eng},
  number       = {3},
  pages        = {177--187},
  title        = {A patient and physician tailored approach to carotid artery stenting},
  volume       = {20},
  year         = {2013},
}

Web of Science
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