Safety and Efficacy of Carotid Artery Stenting without the use of Protective Embolic Devices

Background: It is reported that the second most common cause of death worldwide is stroke. 15 to 20% of cerebral is-chemia are due to extracranial carotid stenosis. Aim of Study: The study aims at evaluating the efficiency and safety of carotid artery stenting. The chosen patients are those diagnosed with high risk carotid artery stenosis which will be delt by using non protective embolic devices. Patients and Methods: Eighty patients eligible for the in-clusion and exclusion requirements and referred to NIR unit as candidates for the procedure through 6 months period were included and underwent Carotid artery stenting (CAS) without Embolic protective device. Results: In the present study, to evaluate the reliable and efficacy of CAS not protected by device, all the cases were assessed by the National Institutes of Health Stroke Scale (NI-HSS) prior to the CAS. The immediate results after the inter-vention were as follows: Seventy eight cases (97.5%) did not show change from their initial NIHSS. Two cases only underwent mild deterio-ration in their NIHSS. No cases experienced major disability strokes, as well as no related death occurred from neurological affection. That was recorded during the procedure and in the follow -up duration. Conclusion: Satisfactory safety and efficacy can be ob-tained during carotid stenting without protection devices when done by expert hands. This can be realized as we depend on tailored approach for patient choice especially in dealing with financial low resources.