S Karthikeyan
Apollo Hospitals, India
Scientific Tracks Abstracts: J Neuro Neurophy
Background and purpose: A major concern during carotid artery stent placement is the potential for cerebral
embolism. Diminishing the number of device manipulations across the lesion might reduce procedural stroke risk.
For this purpose, we report our initial experience with carotid stent placement without the use of distal protection
devices.
Materials and methods: Thirty consecutive patients with carotid stenosis compose this series. Twenty four of the
30 stented carotid arteries were symptomatic ( [83%]), 17 %percent of them were asymptomatic and had stenosis
between 50% and 70%. Patients underwent neurologic evaluation before the procedure and during follow-up at 1, 3,
6, and 12 months. Carotid sonography and MRI Brain plain films were performed immediately after the procedure.
Results: Primary stent placement was successful in all cases case subjects. . No Neurologic periprocedural
complications. The degree of stenosis decreased from a mean of 78.85% before the procedure to a mean of 21.%
immediately after.
Conclusions: In this series, carotid stent placement without the use of distal protection devices was safe and effective
with no incidence of periprocedural complications
S Karthikeyan is a 33 years old Gold Medalist in Neurology from Ramachandra University. He has completed his fellowship in Intervention Neurology & Stroke from Max Hospitals and currently he is a Post Consultant Intervention Neurologist in Apollo Hospitals, Chennai.
E-mail: drkarthikneuro@gmail.com
