Neurointervention.  2015 Feb;10(1):7-13. 10.5469/neuroint.2015.10.1.7.

Recommendations for Carotid Stenting in Korea

• Chang HW
• Shin SH
• Suh SI
• Jeong HW
• Suh DC

• KMID: 1910754
• DOI: http://doi.org/10.5469/neuroint.2015.10.1.7

Abstract

Carotid artery angioplasty with stenting (CAS) is being performed in many hospitals in Korea. Most of the guidelines which are being used are similar, but the practical aspects such as techniques are different between hospitals. For example, usage of various protective devices, the oral antiplatelet regimen prior to procedure and placing of temporary pacemaker to prevent bradycardia are different between hospitals. In this article, we summarize and propose the guidelines for CAS which is currently being accepted in Korea. These guidelines may be helpful in providing protocol to neurointerventionalist who perform CAS and to standardize the process including reporting of CAS in the future comparative trials in Korea.

Keyword

Guideline; Carotid artery; Angioplasty; Stenting

MeSH Terms

Angioplasty
Bradycardia
Carotid Arteries
Korea
Protective Devices
Stents*

Reference

1. Kim HJ, Suh DC. Atherosclerotic carotid stenosis: Recent update of carotid stenting. Neurointervention. 2006; 1:7–17.

2. Suh SI. Guideline for extracranial carotid stenting: Preliminary report. Neurointervention. 2007; 2:24–29.

3. Brott TG, Hobson RW, Howard G, Roubin GS, Clark WM, Brooks W, et al. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010; 363:11–23. PMID: 20505173.

4. Mantese VA, Timaran CH, Chiu D, Begg RJ, Brott TG, Investigators C. The carotid revascularization endarterectomy versus stenting trial (crest): stenting versus carotid endarterectomy for carotid disease. Stroke. 2010; 41:S31–S34. PMID: 20876500.

5. Brott TG, Halperin JL, Abbara S, Bacharach JM, Barr JD, Bush RL, et al. 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease. Stroke. 2011; 42:e464–e540. PMID: 21282493.

6. Paraskevas KI, Mikhailidis DP, Veith FJ. Comparison of the five 2011 guidelines for the treatment of carotid stenosis. J Vasc Surg. 2012; 55:1504–1508. PMID: 22542347.

7. Yadav JS, Wholey MH, Kuntz RE, Fayad P, Katzen BT, Mishkel GJ, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med. 2004; 351:1493–1501. PMID: 15470212.

8. CAVATAS Investigators. Endovascular versus surgical treatment in patients with carotid stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): a randomised trial. Lancet. 2001; 357:1729–1737. PMID: 11403808.

9. Group SC, Ringleb PA, Allenberg J, Bruckmann H, Eckstein HH, Fraedrich G, et al. 30 day results from the space trial of stentprotected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non-inferiority trial. Lancet. 2006; 368:1239–1247. PMID: 17027729.

10. Mas JL, Chatellier G, Beyssen B, Branchereau A, Moulin T, Becquemin JP, et al. Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. New Engl J Med. 2006; 355:1660–1671. PMID: 17050890.

11. Park ST, Kim JK, Yoon KH, Park SO, Park SW, Kim JS, et al. Atherosclerotic carotid stenoses of apical versus body lesions in high-risk carotid stenting patients. AJNR Am J Neuroradiol. 2010; 31:1106–1112. PMID: 20093309.

12. Suh DC, Kim JL, Kim EH, Kim JK, Shin JH, Hyun DH, et al. Carotid baroreceptor reaction after stenting in 2 locations of carotid bulb lesions of different embryologic origin. AJNR Am J Neuroradiol. 2012; 33:977–981. PMID: 22268083.

13. Higashida RT, Meyers PM, Phatouros CC, Connors JJ 3rd, Barr JD, Sacks D. Reporting standards for carotid artery angioplasty and stent placement. J Vasc Interv Radiol. 2009; 20:S349–S373. PMID: 19560024.

14. Barnett HJ, Taylor DW, Eliasziw M, Fox AJ, Ferguson GG, Haynes RB, et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. 1998; 339:1415–1142. PMID: 9811916.

15. Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet. 1998; 351:1379–1138. PMID: 9593407.

16. Liapis CD, Bell PR, Mikhailidis D, Sivenius J, Nicolaides A, Fernandes e Fernandes J, et al. ESVS guidelines. Invasive treatment for carotid stenosis: Indications, techniques. Eur J Vasc Endovasc Surg. 2009; 37:1–19. PMID: 19286127.

17. Rothwell PM, Eliasziw M, Gutnikov SA, Fox AJ, Taylor DW, Mayberg MR, et al. Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis. Lancet. 2003; 361:107–116. PMID: 12531577.

18. Clinical Research Center for Stroke. Clinical practice guidelines for stroke. 2013. http://www.Stroke-crc.or.kr.

19. Insurance coverage for carotid artery stenting. http://www.Hira.Or.Kr/rff_pds.Medicineinfo.Do?Pgmid=hiraa030035000000&method=viewstandard&opendt=20081226&seqno=2&matrseqno=13.2008http://www.Hira.Or.Kr/rff_pds.Medicineinfo.Do?Pgmid=hiraa030035000000&method=viewstandard&opendt=20081226&seqno=2&matrseqno=13.2008.

20. Endarterectomy for asymptomatic carotid artery stenosis. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. JAMA. 1995; 273(18):1421–1428. PMID: 7723155.

21. Shin SH, Kwon SC, Suh DC. Recent update of guidelines for neurointerventional procedures. Neurointervention. 2013; 8:68–72. PMID: 24024069.

22. Zarins CK, White RA, Diethrich EB, Shackelton RJ, Siami FS, Ca RSC, Ca RI. Carotid revascularization using endarterectomy or stenting systems (CARESS): 4-year outcomes. J Endovasc Ther. 2009; 16:397–409. PMID: 19702339.

23. Yadav JS. Carotid stenting in high-risk patients: design and rationale of the SAPPHIRE trial. Cleve Clin J Med. 2004; 71(Suppl 1):S45–S46. PMID: 14964484.

24. Gortler D, Schlösser FJ, Muhs BE, Nelson MA, Dardik A. Periprocedural drug therapy in carotid artery stenting: the need for more evidence. Vascular. 2008; 16:303–309. PMID: 19344586.

25. Roh HG. In : Carotid artery stenting: indication and technique in ksin summer intensive course; August 24-25; 2007. p. 8–18.

26. Morris P. Practical neuroangiography. 2nd ed. Philadelphia: Lippincott williams & wilkins;2007.

27. Verzini F, De Rango P, Parlani G, Panuccio G, Cao P. Carotid artery stenting: technical issues and role of operators' experience. Perspect Vasc Surg Endovasc Ther. 2008; 20:247–257. PMID: 18930932.

28. Bonati LH, Lyrer P, Ederle J, Featherstone R, Brown MM. Percutaneous transluminal balloon angioplasty and stenting for carotid artery stenosis. Cochrane Database Syst Rev. 2012; 9:CD000515. PMID: 22972047.

29. Ansel GM, Hopkins LN, Jaff MR, Rubino P, Bacharach JM, Scheinert D, et al. Safety and effectiveness of the INVATEC MO. MA proximal cerebral protection device during carotid artery stenting: results from the ARMOUR pivotal trial. Catheter Cardiovasc Interv. 2010; 76:1–8. PMID: 20222019.

30. Roubin GS, Iyer S, Halkin A, Vitek J, Brennan C. Realizing the potential of carotid artery stenting: proposed paradigms for patient selection and procedural technique. Circulation. 2006; 113:2021–2030. PMID: 16636190.

31. Ullery BW, Nathan DP, Shang EK, Wang GJ, Jackson BM, Murphy EH, et al. Incidence, predictors, and outcomes of hemodynamic instability following carotid angioplasty and stenting. J Vasc Surg. 2013; 58:917–925. PMID: 23669182.

32. Lian X, Lin M, Liu M, Huang J, He X. Complications and predictors associated with persistent hemodynamic depression after carotid artery stenting. Clin Neurol Neurosurg. 2014; 124:81–84. PMID: 25016335.

33. Bussiere M, Lownie SP, Lee D, Gulka I, Leung A, Pelz DM. Hemodynamic instability during carotid artery stenting: the relative contribution of stent deployment versus balloon dilation. J Neurosurg. 2009; 110:905–912. PMID: 19231933.

34. Nederkoorn PJ, Brown MM. Optimal cut-off criteria for duplex ultrasound for the diagnosis of restenosis in stented carotid arteries: review and protocol for a diagnostic study. BMC Neurology. 2009; 9:36. PMID: 19624830.

35. Kwon BJ, Jung C, Sheen SH, Cho JH, Han MH. CT angiography of stented carotid arteries: comparison with Doppler ultrasonography. J Endovasc Ther. 2007; 14:489–497. PMID: 17696623.

36. Cremonesi A, Setacci C, Bignamini A, Bolognese L, Briganti F, Di Sciascio G, et al. Carotid artery stenting: first consensus document of the iccs-spread joint committee. Stroke. 2006; 37:2400–2409. PMID: 16902176.

37. Hopkins LN, Roubin GS, Chakhtoura EY, Gray WA, Ferguson RD, Katzen BT, et al. The Carotid Revascularization Endarterectomy versus Stenting Trial: credentialing of interventionalists and final results of lead-in phase. J Stroke Cerebrovasc Dis. 2010; 19:153–162. PMID: 20189092.