Advances in the measures to reduce ischemic brain injury after carotid artery stenting / 中国脑血管病杂志

ABSTRACT

Ischemic brain injury after carotid artery stenting (CAS) is a predictor of cognitive decline and clinical events of cerebral ischemia. Nowadays, the methods to reduce the incidence of ischemic brain injury after CAS include choosing the eligible patients, controlling the risk factors, using the antiplatelet aggregation drugs and statins, combining neuroprotective drugs, or non-pharmaceutical therapies, and selecting the appropriate type of stents and embolic protection devices individually. The standardized training of the operator is also important for reducing procedure-related complications. However, ischemic brain injury after CAS is still a common phenomenon. Further study is needed to develop a safe, economical and effective treatment to reduce the prevalence of CAS complications.