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Practical Carotid Artery Stenting
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Main description:

In the management of vascular disease, there has been an inexorable drive towards less invasive endovascular treatments. This has substantially altered the attitudes of patients, clinicians and health care providers.

Endovascular treatment of carotid stenosis for stroke is no exception. Several trials are running concurrently; these are comparing carotid endarterectomy (CEA) with the less invasive alternative, carotid stenting (CAS). There is already evidence that CAS may be preferable in certain patient populations i.e. those deemed to be at high surgical risk. Furthermore both procedures have comparable benefits in terms of survival free of ipsilateral stroke between three to five years post-procedure.

State-of-the-art CAS (with regards use of all available technical refinements) is all but five years old. There is considerable interest from clinicians from a variety of clinical backgrounds and from industry in this technique and, therefore, scope for a contemporary practical guide.


Illustrated guide to variations in carotid anatomy and relevance to patient selection

Practical guide to selection of material, thus optimising outcomes by avoidance of use of inappropriate material

Guide to imaging during CAS, thus avoiding errors which may occur through inadequate visualization of anatomy

Guide to post procedural care including the management of complications

Back cover:

Carotid Artery Stenting: A Practical Guide offers beginners a contemporary practical handbook.

As the popularity of Carotid Artery Stenting (CAS) grows, so too does the demand in knowledge and guidance for this technically challenging and high risk procedure.

The book aids optimal outcomes during early experiences with CAS by helping to avoid many common pitfalls. The text runs through common themes of CAS such as carotid anatomy variations, material selection, imaging during CAS, pharamacological support regimes and post procedural care serving to minimise the potential risk of error and further complications.

This is an essential handbook for physicians of all backgrounds, particularly Vascular Radiologists, Neurointerventionists, Vascular Surgeons, Interventional Cardiologists, and Neurologists/Stroke Physicians.

This book is written by a number of authors from around the globe, and edited by Gerry Stansby and Sumaira Macdonald, two experts in the field of vascular radiology and surgery. Sumaira Macdonald is also responsible for the carotid artery stenting program in Newcastle making this book a reliable source of information and guidance in the domain of CAS.


Carotid Stenting: The Evidence Base.- Patient Selection for Carotid Stenting.- What Is the Evidence for Intervening in Asymptomatic Patients?.- Carotid Artery Stenting. First Steps: Training, Support, and Proctorship.- Preprocedure Imaging.- Cerebral Arterial Anatomy.- Patient Selection: Anatomical.- Plaque Stability and Carotid Stenting.- Pharmacological Support.- Equipment, Basic and Advanced: An Overview.- Difficult Access: Tips and Tricks.- Procedural Tips and Tricks.- Embolic Containment Devices and How to Avoid Disaster.- Relevance of Periprocedural Hemodynamics.- Dealing with Complications: Neurorescue.- Surveillance: Diagnosis and Management of In-Stent Restenosis.- Optimizing Outcomes.


ISBN-13: 9781849967747
Publisher: Springer (Springer London)
Publication date: October, 2010
Pages: 224
Weight: 434g
Availability: POD
Subcategories: Cardiovascular Medicine, General, Neurology, Plastic/Reconstructive & Aesthetic, Radiology, Vascular


Gerard P Stansby, BA, MBBChir, MA, FRCS, MChir, is a Professor of Vascular Surgery, Freeman Hospital and University of Newcastle upon Tyne, UK. He is an experienced editor of several books and journals and has published books on surgery and venous diseases (Goldberg & Stansby, Surgical Talk; Surgery for Finals, World Scientific Book Publishing, 1999 ISBN 1-86094-077-3 "2nd edition 2005; Belcaro, Nicolaides, & Stansby, The Venous Clinic, Imperial College Press.1997, ISBN 1-86094-051-X; Labropoulos & Stansby, Venous and Lymphatic Diseases, Marcel Dekker ltd. 2006, ISBN 0824729234). He is a consultant vascular surgeon, experienced in carotid surgery and patient selection. He has published research on carotid surgery and is the author of the Royal College of Surgeons STEP course section on carotid disease.

Sumaira Macdonald, MBChB, MRCP, FRCR, PhD, is a Consultant Vascular Radiologist & Honorary Clinical Senior Lecturer, The Freeman Hospital, Newcastle upon Tyne, UK, who has been responsible for setting up the carotid stenting program in Newcastle. She is also involved with several trials of carotid stenting, and regularly proctors and teaches the technique nationally and internationally.

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Average Rating 

From the reviews:

"This comprehensive overview of the field of carotid stenting includes everything from patient selection … to tips and techniques, adjunctive medical treatment, and the management of complications. … the details provided on techniques and types of catheters, wires, and stents are extremely useful to those starting out. … This book is useful for students as well as practitioners, including vascular surgeons, interventional radiologists, interventional cardiologists, and neurosurgeon. … I highly recommend this book to trainees in the field of carotid stenting." (Audrey Rosinberg, Doody’s Review Service, October, 2009)