Title: Carotid stenting in a nonagenarian patient with symptomatic carotid stenosis
Abstract: Carotid artery stenosis is a disabling disease in all age groups.Elderly people are more prone to recurrent strokes due to advancing age and multiple co--morbidities.Treatment options for symptomatic carotid stenosis in the very elderly are the same as in younger patients although with a higher operative risk.We describe a successful case of carotid artery stenting in a nonagenarian with symptomatic carotid artery stenosis, a subgroup for whom treatment options are rarely discussed in guidelines. Key Words Carotid artery stenosis; nonagenarian; carotid artery stenting Implications for Practice1. Carotid artery stenting is an accepted treatment modality for atherosclerotic carotid artery stenosis.2. Carotid artery stenosis is an important cause of stroke in elderly and outcomes after stroke are highly influenced by advancing age.3. Very elderly symptomatic patients should be investigated and considered for intervention after careful individual patient and lesion assessment.