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Carotid Artery Stenting Systems Company NameProduct NameStraight Stent Lengths (mm) Cordis Precise Nitinol Stent System 20, 30, 40 Cordis Precise Pro RX Carotid Stent System 20, 30, 40 Medtronic Protg RX Carotid Stent System 20, 30, 40, 60 Silk Road Medical Enroute Transcarotid Stent System 20 (6 mm only), 30, 403 more rows
For example, code 37215 includes both carotid angioplasty and carotid stent insertion. In fact, there is no CPT code for carotid angioplasty without stenting; this procedure is generally not covered.
Thats important, he adds, because the typical patient with a narrowed carotid artery is 70 years old. Life expectancy is another 16 years for women and another 14 years for men.
We found a mortality rate of 5.2 % at one year and 31.4% at 7.6 years of follow-up in 194 consecutive patients after CAS. Myocardial infarction was the most frequent cause of death and malignancy was the main cause of non-cardiac deaths during the follow-up.
Carotid angioplasty and stenting can help reopen these arteries. It is a minimally invasive procedure and nonsurgical. During the procedure, a thin flexible tube (catheter) is put into an artery in your groin. It will be gently threaded up into the problem carotid artery in your neck.
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When treating a tortuous anatomy, stents with a flexible and comformable open-cell configuration are preferred. In arteries with a docHub mismatch between common carotid artery and internal carotid artery diameter, cobalt chromium (Elgiloy) or tapered nitinol stents are selected.
A 2018 study with over 73,000 people who received CEA with an average age of 70 found less than 13% of them died 5 years after the surgery. A 2019 study with 473 people over 80 years old who received either CEA or a carotid stent found that up to 67.6% of people could expect to live another 5 years or more.
Once a stent is placed in a carotid artery, the stent permanently stays inside the artery. Once placed, the stent permanently stays inside the artery. There is a 2-3% risk of repeat narrowing if the stent also gets blocked in the future. This usually happens within the first 6-9 months.
This study demonstrated that carotid artery stenting in elderly patients has high efficacy and is safe in the periprocedural period and that patients survive long enough to benefit from the procedure. When selected appropriately, the majority of patients survive to 3 and 5 years after the procedure.
In some cases, carotid endarterectomy may be a better choice than angioplasty and stenting to remove the buildup of fatty deposits (plaque) clogging the artery. You and your doctor will discuss which procedure is safest for you.

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