RT Journal Article SR Electronic T1 Endovascular Stenting for Carotid Artery Stenosis: Preliminary Experience Using the Shape-memory–Alloy-recoverable–technology (SMART) Stent JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 732 OP 738 VO 21 IS 4 A1 Phatouros, Constantine C. A1 Higashida, Randall T. A1 Malek, Adel M. A1 Meyers, Philip M. A1 Lempert, Todd E. A1 Dowd, Christopher F. A1 Halbach, Van V. YR 2000 UL http://www.ajnr.org/content/21/4/732.abstract AB Summary: We describe our initial clinical experience using the newly available self-expanding, Nitinol, shape-memory–, alloy-recoverable–technology (SMART) stent in treating carotid artery occlusive disease. Five stents were used in four carotid arteries in four consecutive patients with carotid stenosis of at least 70%. Technical success (<20% residual stenosis) was achieved in all cases. No procedural complications specifically related to use of the SMART stent were encountered. All patients remained symptom-free, with no evidence of transient ischemic attacks or new strokes during an average follow-up period of 6 months. Excellent performance of the SMART stent for the endovascular treatment of carotid artery stenosis has been shown based on our early experience. Validation with greater numbers and longer-term follow-up is required. The specific technical characteristics, potential advantages, and disadvantages of this stent are discussed and compared with other currently used carotid artery stents.