Carotid artery stenting with dual-layer stent implantation in a patient with complex anatomy.

Carotid atherosclerotic disease associated with hemodynamically significant stenosis is a serious condition that requires accurate diagnosis and effective treatment to prevent cardiovascular events such as stroke. Treatment strategies, including carotid angioplasty and carotid endarterectomy, have evolved considerably, providing safer and less invasive therapeutic options. This report describes the case of a male patient with dyslipidemia, hypertension, and coronary artery disease who presented with near-occlusion of the left internal carotid artery caused by a plaque with features of instability. Given the lesion's high embolic potential and the risk of embolization associated with conventional endovascular treatment, a dual-layer micromesh-covered CGuardTM stent was used in conjunction with a distal embolic protection device. Despite the technical challenges related to the patient's vascular anatomy, the procedure was successfully completed, and the patient experienced a favorable clinical outcome, demonstrating the applicability of this technology in anatomically complex scenarios.