Plaque Prolapse Prevention Carotid Artery Stenting (3PCAS) "3PCAS"


Phase N/A Results N/A

Eligibility Criteria

Inclusion Criteria

- presence of a carotid stenosis ≥70% (NASCET evaluation criteria)
- no previous neurologic symptoms referred in the medical history
- absence of a previous brain ischemic lesion detected at DW-MRI

Exclusion Criteria

- symptomatic carotid lesions
- previous ischemic brain lesions detected at DW-MRI
- inability to give consent
Exclusion criteria for CAS are:
- significant contraindications to angiography,
- history of bleeding disorder,
- intracranial aneurysm or vascular malformation or hemorrhage,
- presence of intraluminal thrombus,
- poor entry points at the femoral artery,
- type 2-3 arch,
- bovine arch,
- severe aortic arch or ipsilateral ostial common carotid or brachiocephalic atherosclerosis,
- severe proximal common or distal internal carotid artery tortuosity,
- sharply angulated internal carotid artery,
- carotid string sign,
- circumferential calcification of carotid plaque,
- length of the target lesion requiring more than one stent