Today’s medical therapy is tough competition, but new devices for use in CAS might tip the balance toward endovascular therapy, experts say.
HOLLYWOOD, FL—What with no distinct advantage for carotid artery stenting (CAS) over carotid endarterectomy (CEA)—and today’s availability of more aggressive medical therapy—it is unclear which approach to revascularization holds an edge, experts said last week at the International Symposium on Endovascular Therapy (ISET) 2017. But it may be that tweaking certain aspects of CAS devices tips the scales.
“I believe the outlook of CAS is bright because of three advances that are currently on the horizon that may decrease strokes.” These include better embolic protection devices with cessation or reversal of flow (eg, Medtronic’s Mo.Ma device), cervical access to avoid the aortic arch and reverse flow (eg, Silk Road Medical’s ENROUTE system), and membrane or mesh-covered stents to stop delayed strokes, Veith said.
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