Carotid and Innominate Artery Stenting for High-Risk Patients

Reid Ravin, Shivani Kumar, Peter Faries

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Carotid artery stenting with embolic protection (CAS) is a safe and effective alternative to carotid endarterectomy (CEA) for symptomatic carotid stenosis and in asymptomatic patients with critical stenotic lesions. Radiation arteritis has recently been defined as a unique pathophysiological process distinct from atherosclerosis. Much of the morbidity and mortality associated with CEA is secondary to the risk of cardiac events in the perioperative period. Defining who is a high-risk patient for adverse cardiac events after endarterectomy continues to be investigated. Isolated innominate artery disease is a rare form of vascular pathology. Patients with innominate artery stenosis have a range of clinical presentations, and many patients remain completely asymptomatic, with their lesions diagnosed incidentally. Endovascular intervention has now been established as first-line therapy for patients with innominate artery stenosis. Brachial artery approaches are typically performed via cut-down to avoid any complications arising from brachial sheath hematomas.

Original languageEnglish
Title of host publicationEndovascular Interventions
Number of pages11
ISBN (Electronic)9781119283539
ISBN (Print)9781119283492
StatePublished - 1 Jan 2019


  • atherosclerosis
  • brachial artery approaches
  • carotid endarterectomy
  • endovascular intervention
  • high-risk patient
  • innominate artery stenosis
  • isolated innominate artery disease
  • radiation arteritis


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