{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:35:09Z","timestamp":1787924109885,"version":"build-2784847793"},"reference-count":16,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract 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\u2019s 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.<\/jats:p>","DOI":"10.1590\/1677-5449.202501192","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:13:15Z","timestamp":1787922795000},"source":"Crossref","is-referenced-by-count":0,"title":["Carotid artery stenting with dual-layer stent implantation in a patient with complex anatomy"],"prefix":"10.1590","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8009-2640","authenticated-orcid":false,"given":"Gislaine dos Santos Rodrigues","family":"Vieira","sequence":"first","affiliation":[{"name":"Centro Universit\u00e1rio S\u00e3o Lucas,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3518-325X","authenticated-orcid":false,"given":"Ana Luiza Feitosa Leite de","family":"Souza","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio S\u00e3o Lucas,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8494-8648","authenticated-orcid":false,"given":"Crislayne dos Santos","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio S\u00e3o Lucas,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2415-7737","authenticated-orcid":false,"given":"Jo\u00e3o da","family":"Silva Junior","sequence":"additional","affiliation":[{"name":"Instituto Vascular e Endovascular de Rond\u00f4nia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5725-1500","authenticated-orcid":false,"given":"Nelson Ogliari","family":"Rezende","sequence":"additional","affiliation":[{"name":"Instituto Vascular e Endovascular de Rond\u00f4nia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3035-6123","authenticated-orcid":false,"given":"William","family":"Wakasugui","sequence":"additional","affiliation":[{"name":"Instituto Vascular e Endovascular de Rond\u00f4nia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9109-5193","authenticated-orcid":false,"given":"Helen Caroline Magalh\u00e3es","family":"Costa","sequence":"additional","affiliation":[{"name":"Instituto Vascular e Endovascular de Rond\u00f4nia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9091-0224","authenticated-orcid":false,"given":"Vinicius Tadeu Ramos da Silva","family":"Grillo","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio S\u00e3o Lucas,  Brasil; Instituto Vascular e Endovascular de Rond\u00f4nia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.ejvs.2017.06.021","article-title":"Editor\u2019s choice \u2013 management of atherosclerotic carotid and vertebral artery disease: 2017 clinical practice guidelines of the European Society for Vascular Surgery (ESVS)","volume":"55","author":"Naylor AR","year":"2018","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref2","article-title":"Diretrizes da Sociedade Brasileira de Angiologia e Cirurgia Vascular para o 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complexa"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1677-54492026000101406&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:13:23Z","timestamp":1787922803000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1677-54492026000101406&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":16,"alternative-id":["S1677-54492026000101406"],"URL":"https:\/\/doi.org\/10.1590\/1677-5449.202501192","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1677-5449.202501191","asserted-by":"subject"}]},"ISSN":["1677-7301","1677-5449"],"issn-type":[{"value":"1677-7301","type":"electronic"},{"value":"1677-5449","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e20250119"}}