頚動脈ステント留置術

Carotid Artery Stenting

Point

・頚動脈ステント留置術の適応は，内科的治療の飛躍的な成績向上も考慮して，慎重に吟味する．

・術前にさまざまな画像評価を駆使して，最大限のリスク低減に努める．

　Currently, stricter indications for carotid artery stenosis are required owing to improvements in multifaceted medical treatment, including the intensive management of risk factors for atherosclerosis and lifestyle changes. High-risk factors for carotid artery stenting, such as vulnerable plaques, severe calcification, pseudo-occlusion, and difficult access, should be evaluated before endovascular intervention. Therefore, we need to understand the characteristics of each device to achieve maximum risk reduction for carotid artery stenting.