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Carotid stenting with double layered stents: Double trouble or double benefit?
Author(s) -
Safian Robert D.
Publication year - 2018
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27562
Subject(s) - medicine , carotid stenting , double layered , carotid arteries , double layer (biology) , stent , embolization , radiology , covered stent , surgery , layer (electronics) , carotid endarterectomy , materials science , composite material , chemistry , organic chemistry
Key Points The use of double layer (covered) stents during carotid artery stenting (CAS) appears to be safe; attenuation of plaque prolapse and distal embolization is reasonable but unproven. Double layer stents are commercially available in Europe but not in the United States; similar benefits might be obtained by implanting two self‐expanding stents, to decrease the effective free cell area. Embolic protection devices (EPDs) are recommended in all CAS patients; the use of double layer stents does not eliminate the need for EPDs.