When carotid artery lesions occur and meet the indications for stenting, stents can be placed to alleviate the condition, such as when a carotid aneurysm occurs, endovascular stenting can be chosen.
Endovascular treatment of carotid aneurysms has achieved good near- and mid-term follow-up results. Both coated stents and bare metal stents can be used to treat carotid aneurysms. Bare metal stents can be used alone or in combination with spring coils. Compared with conventional open surgery, endovascular stenting does not require general anesthesia and allows continuous monitoring of the patient’s mental status during the intervention.
Endovascular stenting should be followed by standardized drug therapy. Dual antiplatelet therapy, such as aspirin and clopidogrel, is used to minimize in-stent restenosis and thromboembolic complications.
The need for stent placement in the carotid artery should be decided based on the patient’s specific condition, and patients who meet the pointers can be operated by a physician.