Technique and Complications of Transfemoral Stenting

Despite the technical advances, the role of CAS in stroke prophylaxis remains controversial, the main reason being the higher rates of neurologic adverse events when compared to carotid endarterectomy (CEA). Current clinical practice guidelines favor CEA as the standard of care for most patients with carotid stenosis, whereas CAS can be safely offered as an alternative to CEA in younger patients (<70 years) with symptomatic carotid stenosis [1–4]. The key for a successful CAS service is to improve the periprocedural results by reducing both the incidence and the consequences of its complications. The aim of this chapter is, first, to describe the technical steps of a standard transfemoral CAS procedure and, second, to summarize the most common complications, focusing on how to prevent and manage them.