Stenting is an alternative to traditional surgery in the treatment of carotid stenosis.The intra and/or postprocedural cerebral embolization remains the most frequent complication. The type of carotid stent and of cerebral protection are the two most important variables potentially affecting the rate of cerebral microembolization. So far there no consensus on the the best stent and cerebral protection.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
Centro Cardiologico Monzino, IRCCS
Milan, MI, Italy
RECRUITINGnumber of microembolization signals (MES) detected with transcranial doppler
different phases of carotid stenting (lesion wiring; predilation; stent crossing of the lesion; stent deployment; stent post dilation; device retrieval/deflation
Time frame: intraprocedural
Clinical success
all strokes, major and minor strokes, myocardial infarction
Time frame: day 2 or day 3 and day 30 complication
6 month clinical follow up
all strokes, major and minor strokes, myocardial infarction
Time frame: 6 month
Doppler ultrasound assesment
stent patency and long term restenosis of target carotid artery and target vessel external carotid artery
Time frame: day 2 or day 3, 1 month and 6 month
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