Assessment of Facial Pain After Internal Carotid Artery Stenting: The Role of External Carotid Artery Overstenting
2024

Facial Pain After Carotid Artery Stenting

Sample size: 55 publication Evidence: moderate

Author Information

Author(s): Łyko-Morawska Dorota, Szkółka Łukasz, Serafin Michał, Senderek Emila, Kiczmer Paweł, Górska Magdalena, Kuczmik Wacław

Primary Institution: Medical University of Silesia

Hypothesis

ECA overstenting may contribute to facial pain.

Conclusion

Carotid artery stenting significantly decreases the diameter of the external carotid artery and may be associated with facial pain.

Supporting Evidence

  • 27.27% of patients reported facial pain during the procedure.
  • 7.28% of patients had residual pain 24 hours post-procedure.
  • The median ECA diameter decreased significantly from 4.11 mm to 3.16 mm after CAS.
  • ECA overstenting was observed in 96.4% of cases.
  • Patients with lower ICA stenosis were more likely to report facial pain.

Takeaway

When doctors put a stent in the carotid artery, it can sometimes make your face hurt, especially if the artery is not very blocked.

Methodology

This was a prospective study evaluating facial pain in patients treated with carotid artery stenting, using a numeric rating scale for pain assessment.

Potential Biases

Subjective pain reporting may vary due to individual differences in pain perception.

Limitations

The study's limitations include subjective pain reporting, lack of blood flow measurements, absence of long-term follow-up, and single-center design.

Participant Demographics

The study included 55 adult patients, predominantly male (70.9%), with a mean age of 69 years.

Statistical Information

P-Value

p = 0.04

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/jcm13247666

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