Carotid Arteries Stenting Complications: Transradial Approach Versus Transfemoral

Prospective, Randomized, Single Center Study of Atherothrombotic and Thromboembolic Events After Carotid Artery Stenting Using Transfemoral and Transradial Approach

The aim is to compare the safety of using transfemoral and transradial approach in patient undergoing carotid arteries stenting.

The use of transradial approach in carotid arteries stenting can significantly decrease the amount of adverse events associated with transfemoral approach such as bleeding or hematoma. Otherwise providing transradial approach is fraught with technical difficulties of common carotid artery canulation that can result in embolic complications. Taking into account the absence of studies in this area of medicine, providing investigation evaluating parameters of safety for both methodics is very actual.

Inclusion Criteria:

• Symptomatic patients with internal carotid artery stenosis(>50%)
• Asymptomatic patients with internal carotid artery stenosis(>60%)
• Anatomy of internal carotid artery applicable for stent implantation and use of embolic protection device

Exclusion Criteria:

• Stroke, myocardial infarction or underwent operative treatment within 1 month
• Prior carotid artery stenting
• Cerebral vessels aneurisms/ malformations
• Subclavian artery/ brachiocephalic trunk stenosis
• Contraindications for antiplatelet or/and anticoagulation therapy