Non-protected carotid artery stenting for symptomatic carotid stenosis in low resource settings

Abstract Background The use of a distal cerebral protection device during extracranial carotid artery stenting is still matter debate. aim this work was to evaluate the safety performing procedure without in patients with symptomatic stenosis. A retrospective study performed period from September 2015 till March 2020 including 91 All were treated single stent type (Wall stent® - Boston scientific) device. Pre- and post-procedural clinical assessment national institute health stroke scale (NIHSS). Post brain diffusion-weighted magnetic resonance imaging (DW-MRI) if clinically indicated within 24 h used determine periprocedural embolization. Results low complication rate found as only one case (1%) showed mild deterioration NIHSS new acute emboli detected DW-MRI. Conclusion Carotid can be safely