Carotid stenting is a process which treats blockages in the internal carotid artery. Arteries are blood vessels that carry blood to the brain and face. Sometimes, the arteries cannot supply adequate amount of blood due to formation of a fatty material called plaque, causing blockages. This reduced supply of blood may cause stroke, which can cause brain damage or death.
Carotid stenting reopens the narrowed carotid artery by introducing a catheter through the femoral artery and advancing it towards the narrowed part of the artery.
How this is done:
Carotid stenting is usually performed under local anesthesia using a percutaneous transfemoral approach. It involves the following actions in sequence:
- The physician passes a small sheath in the femoral artery in the groin and then introduces a catheter towards the narrowed artery.
- A special filter is delivered through the catheter and is placed beyond the narrowed section of the artery. This reduces the particles and other debris that are released during the procedure, from going to the brain.
- The artery is then enlarged with the help of an inflated balloon to make space for the stent.
- The balloon is deflated and removed which is followed by placing the stent in the artery which allows blood flow to the brain.
- The Filter is the removed.
- The sheath in the groin is removed.
- Patient is observed for around 24 hours in a monitored setting.
This process streamlines the blood flow to your brain which keeps you healthy.
Are there any side-effects:
Most common side effects of the treatment may involve (but are not limited to):
1. Embolism – Blockage by a clot in an artery in the brain.
2. Dissection – A tear in the artery wall.
3. Restenosis – A re-blockage of the carotid artery.
4. Hematoma – Bleeding from the access site.
These are rare side-effects and the risks are reduced by taking necessary precautions during the procedure.
Follow-up treatments or next steps:
To prevent hardening of the arteries from occurring again, you should consider the following changes:
- Eat food which is low in cholesterol and calories
- Exercise regularly
- Quit smoking
- Maintain a healthy weight
Contact our office:
We, at Heart and Vascular clinic, offer solutions for your issues relating to arteries. Please contact us at (302) 338-9444 for further discussion about our services.